{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T15:40:09Z","timestamp":1787586009579,"version":"build-2736575974"},"reference-count":30,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2020,8,19]],"date-time":"2020-08-19T00:00:00Z","timestamp":1597795200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To gain a better understanding of the traumatic mechanism and to develop appropriate treatment for dislocation of the shoulder joint with an ipsilateral humeral shaft fracture.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was an observational and descriptive study. Nine patients with traumatic shoulder dislocations associated with ipsilateral humeral shaft fractures who visited the emergency room and received treatment from January 2012 to June 2018 were retrospectively analyzed. CT with three\u2010dimensional reconstruction was performed to provide precise anatomical information of the fractures. The traumatic event and the type of fracture of the humeral shaft were analyzed to help determine the trauma mechanism. Closed reduction of the dislocation was attempted at once under intravenous anesthesia. One patient died the following day due to unrelated causes. All humeral shaft fractures of the eight patients received internal fixation, and then reduction of the dislocation was performed again if previous attempts failed. The affected limb was immobilized in a sling for 3\u2009weeks postoperatively, and then active and passive movement was encouraged. Patients were evaluated based on clinical and radiographic examinations, shoulder joint range of motion, Constant\u2013Murley score, and subjective shoulder value.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Four cases in the present study could not give a clear description of the traumatic procedure. The other five patients suffered a second strike on their upper arms when they were hurt, with low mobility and high pain in the shoulder region. Seven cases were simple fractures and two were wedge fractures. According to the AO\/OTA classification system, four cases were type 12\u2010A2, three were type 12\u2010A3, and two were type 12\u2010B2. Six patients successfully obtained closed manipulative reduction of the shoulder dislocation in the acute stage. The follow\u2010up time ranged from 18 to 31\u2009months. No deep wound infections were encountered. All fractures healed uneventfully. The union time ranged from 4 to 6 months. At the final follow\u2010up, shoulder range\u2010of\u2010motion values were found to range from 140\u00b0 to 170\u00b0 forward flexion, 30\u00b0 to 40\u00b0 extension, 40\u00b0 to 45\u00b0 adduction, 150\u00b0 to 170\u00b0 abduction, 50\u00b0 to 60\u00b0 internal rotation, and 50\u00b0 to 60\u00b0 external rotation; no recurrent instability of the shoulder joint occurred; the Constant\u2013Murley score was 89.5\u2009\u00b1\u20093.7 points (range: 84\u201394 points); the subjective shoulder value was 89.4%\u2009\u00b1\u20096.3% (range: 75%\u201395%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Shoulder dislocation most likely occurs first with an axial force or a direct posteroanterior force and a subsequent force results in the shaft fracture. For patients with mid\u2010distal humerus fractures, closed manipulative reduction of the joint is usually effective. After success of closed reduction, surgery for the humeral shaft fracture is advocated to ensure stability and to make patient nursing convenient. In cases with fractures in the proximal third of the humeral shaft, fixation is suggested beforehand to help reduce the shoulder dislocation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.12782","type":"journal-article","created":{"date-parts":[[2020,8,28]],"date-time":"2020-08-28T05:27:50Z","timestamp":1598592470000},"page":"1430-1438","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Management of Dislocation of the Shoulder Joint with Ipsilateral Humeral Shaft Fracture: Initial Experience"],"prefix":"10.1111","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3405-9660","authenticated-orcid":false,"given":"Fei","family":"Lyu","sequence":"first","affiliation":[{"name":"Department of Orthopaedics Affiliated Hospital of Yangzhou University, Yangzhou University  Yangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hui\u2010xiang","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Traumatology, Trauma Center Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chun","family":"Bi","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Traumatology, Trauma Center Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shu\u2010ming","family":"Shen","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Affiliated Hospital of Yangzhou University, Yangzhou University  Yangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiu\u2010gen","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Traumatology, Trauma Center Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiao\u2010ming","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Traumatology, Trauma Center Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,8,19]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.I.00450"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-22-12-761"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1308\/003588409X359123"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/0735-6757(91)90187-O"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-197106000-00012"},{"key":"e_1_2_6_7_1","first-page":"168","article-title":"Posterior shoulder dislocation with ipsilateral humeral shaft fracture. 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