Accidental Electric Shock Injuries around the Shoulder Joint

A Case Report of Two Patients

Authors

  • Mruthyunjaya Mruthyunjaya JSS Medical College and Hospital Author
  • Supreeth Nekkanti JSS Medical College and Hospital Author
  • Arunodhaya Siddartha JSS Medical College and Hospital Author
  • M. S. Santosh JSS Medical College and Hospital Author
  • N. Punith JSS Medical College and Hospital Author

Keywords:

Electrocution injury, fracture‑dislocation shoulder joint, osteosynthesis

Abstract

Fracture‑dislocations of the shoulder are grave injuries. These injuries rarely are caused by electrocution injuries. The diagnosis of these injuries is tricky. Missed diagnosis of these injuries is common due to inadequate radiological examination. We report two cases of fracture‑dislocation of the shoulder following accidental electrocution injuries. Our case report includes two patients who injured their shoulder joints after suffering accidental electric shock injuries. Our first patient was an 80‑year‑old female who suffered an anterior fracture‑dislocation of the shoulder and second patient was a 28‑year‑old male who suffered a posterior fracture‑dislocation. Both the patients were treated by osteosynthesis using the deltopectoral approach. Our patients had a good function of their shoulders at the end of 1‑year follow‑up. Fracture‑dislocations of the shoulder pose a significant diagnostic threat and are often missed due to inadequate radiographs. These injuries can be successfully treated by early diagnosis and anatomical fixation of the fracture. Avascular necrosis of the head of the humerus is the significant complication to these injuries.

Author Biographies

  • Mruthyunjaya Mruthyunjaya, JSS Medical College and Hospital

    Department of Orthopaedics, JSS Medical College and Hospital, Mysore, Karnataka, India

  • Supreeth Nekkanti, JSS Medical College and Hospital

    Department of Orthopaedics, JSS Medical College and Hospital, Mysore, Karnataka, India

  • Arunodhaya Siddartha, JSS Medical College and Hospital

    Department of Orthopaedics, JSS Medical College and Hospital, Mysore, Karnataka, India

  • M. S. Santosh, JSS Medical College and Hospital

    Department of Orthopaedics, JSS Medical College and Hospital, Mysore, Karnataka, India

  • N. Punith, JSS Medical College and Hospital

    Department of Orthopaedics, JSS Medical College and Hospital, Mysore, Karnataka, India

References

1. Mclaughlin HL. Posterior dislocation of the shoulder. J Bone Joint SurgAm 1952;24 A: 584‑90.

2. Mestdagh H, Maynou C, Delobelle JM, Urvoy P, Butin E. Traumaticposterior dislocation of the shoulder in adults. Apropos of 25 cases. AnnChir 1994;48:355‑63.

3. Rowe CR, Zarins B. Chronic unreduced dislocations of the shoulder. J Bone Joint Surg Am 1982;64:494‑505.

4. Schulz TJ, Jacobs B, Patterson RL Jr. Unrecognized dislocations of theshoulder. J Trauma 1969;9:1009‑23.

5. Wadlington VR, Hendrix RW, Rogers LF. Computed tomography ofposterior fracture‑dislocations of the shoulder: Case reports. J Trauma1992;32:113‑5.

6. Brackstone M, Patterson SD, Kertesz A. Triple “E” syndrome: Bilateral locked posterior fracture dislocation of the shoulders. Neurology2001;56:1403‑4.

7. Stone N 3rd, Karamitopoulos M, Edelstein D, Hashem J, Tucci J. Bilateral distal radius fractures in a 12‑year‑old boy after householdelectrical shock: Case report and literature summary. Case Rep Med2014;2014:235756.

8. Solem L, Fischer RP, Strate RG. The natural history of electrical injury.J Trauma 1977;17:487‑92.

9. DiVincenti FC, Moncrief JA, Pruitt BA Jr. Electrical injuries: A reviewof 65 cases. J Trauma 1969;9:497‑507.

10. Nekkanti S, Chandru V, J Sujana T, Renukarya R, Raj S. An unusualcase of simultaneous bilateral neck of femur fracture followingelectrocution injury-A case report and review of literature. J OrthopCase Rep 2016;6:70-2.

11. Kym D, Seo DK, Hur GY, Lee JW. Epidemiology of electrical injury:Differences between low‑ and high‑voltage electrical injuries during a7‑year study period in South Korea. Scand J Surg 2015;104:108‑14.

12. Lee RC, Kolodney MS. Electrical injury mechanisms: Dynamics of thethermal response. Plast Reconstr Surg 1987;80:663‑71.

13. Aktas I, Akgun K. Frozen shoulder development secondary to proximalhumerus fracture and supraspinatus tendon tear following electricalinjury. Eura Medicophys 2007;43:469‑73.

14. Dumas JL, Walker N. Bilateral scapular fractures secondary to electricalshock. Arch Orthop Trauma Surg 1992;111:287‑8.

15. Hostetler MA, Davis CO. Galeazzi fracture resulting from electricalshock. Pediatr Emerg Care 2000;16:258‑9.

16. van den Brink WA, van Leeuwen O. Lumbar burst fracture due to lowvoltage shock. A case report. Acta Orthop Scand 1995;66:374‑5.

17. Simon JP, Van Delm I, Fabry G. Comminuted fracture of thescapula following electric shock. A case report. Acta Orthop Belg1991;57:459‑60.

18. Atkinson RE, Kinnett JG, Arnold WD. Simultaneous fractures of bothfemoral necks: Review of the literature and report of two cases. ClinOrthop Relat Res 1980;152:284-7.

19. Sohal HS, Goyal D. Simultaneous bilateral femoral neck fractures afterelectrical shock injury: A case report. Chin J Traumatol 2013;16:126‑8.

20. Evans RJ, Little K. Fracture due to shock from domestic electricitysupply. Injury 1991;22:231‑2.

21. Fish RM. Electric injury, part II: Specific injuries. J Emerg Med2000;18:27‑34.

22. Tan AH. Missed posterior fracture‑dislocation of the humeral headfollowing an electrocution injury to the arm. Singapore Med J2005;46:189‑92.

23. Pushpakumara J, Sivathiran S, Roshan L, Gunatilake S. Bilateral posteriorfracture‑dislocation of the shoulders following epileptic seizures: A casereport and review of the literature. BMC Res Notes 2015;8:704.

24. Dorgan JA. Posterior dislocation of the shoulder. Am J Surg1955;89:890‑900.

25. Matsen FA 3rd, Zuckerman JD. Anterior glenohumeral instability. ClinSports Med 1983;2:319‑38.

26. Loebenberg MI, Cuomo F. The treatment of chronic anterior andposterior dislocations of the glenohumeral joint and associated articularsurface defects. Orthop Clin North Am 2000;31:23‑34.

27. Neer CS 2nd. Displaced proximal humeral fractures. I. Classification andevaluation. J Bone Joint Surg Am 1970;52:1077‑89.

28. Cheng SL, Mackay MB, Richards RR. Treatment of locked posteriorfracture‑dislocations of the shoulder by total shoulder arthroplasty. J Shoulder Elbow Surg 1997;6:11‑7.

Downloads

Published

2018-06-30

How to Cite

Mruthyunjaya, M., Nekkanti, S., Siddartha, A., Santosh, M. S., & Punith, N. (2018). Accidental Electric Shock Injuries around the Shoulder Joint: A Case Report of Two Patients. Nigerian Journal of Orthopaedics and Trauma, 17(1), 34-39. https://njot.org/njot/article/view/7