case_images: PMC10866325_01
case_images: Anteroposterior shoulder X-ray. The greater tuberosity and lesser tuberosity are fractured and displaced. The humeral head is on the same axis as the metaphysis because of the internal rotation (light bulb sign), indicating a possible posterior dislocation.. Black arrow: lesser tuberosity.. Yellow arrow: greater tuberosity.
case_images: cureus-0016-00000052312-i01.jpg
case_images: PMC10866325_01_cureus-0016-00000052312-i01.jpg
case_images: FIG1
case_images: Radiological examination displayed a posterior shoulder dislocation with a fracture in both the LT and GT (Figure 1).
case_images: CT scan confirming the posterior dislocation (a), the fracture pattern (b), and the metaphyseal fracture was excluded (c).. (a) Posterior dislocated humeral head relative to the posterior glenoid rim (white arrow).. (b) Fracture pattern with a fracture of the lesser tuberosity (white arrow) and the greater tuberosity (yellow arrow).. (c) Intact metaphysis (black arrow).
case_images: cureus-0016-00000052312-i02.jpg
case_images: PMC10866325_01_cureus-0016-00000052312-i02.jpg
case_images: FIG2
case_images: A CT scan was performed where the fracture pattern was confirmed and a metaphyseal fracture was excluded (Figures 2a-2c).
case_images: Anteroposterior radiographs of the shoulder with the anatomic plate applied.. (a) Radiograph with the arm in internal rotation. The shoulder is reduced and the tuberosities are fixed.. (b) Radiograph in external rotation with the arm in external rotation. Both tuberosities are anatomically reduced and fixed.
case_images: cureus-0016-00000052312-i03.jpg
case_images: PMC10866325_01_cureus-0016-00000052312-i03.jpg
case_images: FIG3
case_images: The plate was preloaded with two pairs of heavy non-absorbable sutures (Ethibond No. 5) and secured in place using three distal and five central locked screws (Figures 3a, 3b).