Posterior Shoulder Dislocation in a 10-Year-Old
Shoulder dislocation is the most common type of all joints dislocations. In children a posterior shoulder dislocation is usually caused by a congenital anomaly or in those who have ligamentous laxity. Traumatic posterior shoulder dislocation without fracture of the proximal humeral epiphysis in children is very rare, and only few cases have been reported.

Published in the Published in the International Journal of Surgery Case Reports, the authors present a rare case of a 10-year-old child with a traumatic posterior shoulder dislocation without fracture.

A 10 years-old child was seen in the emergency room complaining of left shoulder pain since one night after he hit the door. His mother reported that a month earlier, he had fallen down and his left shoulder was limited range of motion, improved with gentle manipulation, and then he continued to have recurrent episodes of same symptoms without seeking any medical advice.

The patient's vital signs were normal and he looked well. He was having mild pain over his left shoulder with limited range of motion, especially external rotation. Pulses were intact and no neurological deficit was detected. Shoulder examination showed arm was internally rotated and adducted, and he was holding his arm to his body.

Skin was intact and arm was locked in internal rotation with humeral head was palpable in the back of the shoulder which indicate left shoulder dislocation. There were no sign of hyperlaxity. A posteroanterior and an axillary view X-ray (Fig. 1) of left shoulder were done and interpreted as posterior shoulder dislocation. The contour of humeral epiphysis is maintained and the glenoid portion of the shoulder joint appear within normal.

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