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Annals of Medicine and Medical Education
Volume 1, Issue 4 (December 2014), pp. 147-149

DOI: 10.12973/ejms.2014.129p

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Case Report

Published online on Apr 12, 2014

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A FOREARM SKIN TEAR DURING REDUCTION OF ANTERIOR SHOULDER DISLOCATION IN AN ELDERLY PATIENT

Cengiz ISIK, Emre KAYA, Husamettin CAKICI, Fuat AKPINAR, Hakan SARMAN

Abstract

Anterior shoulder dislocation is the most common type of joint dislocation.  Lots of complications like fracture of greater tubercle and glenoid anterior rim or neurovascular injuries may occur at the time of dislocation or reduction of dislocated joint. We aimed to present a case; 76 year old female with anterior dislocation and fracture ; while we were trying close reduction by traction counter-traction method , we experienced a complication which was a non-circulated degloving like skin tear at dorsal middle part of forearm  which was not presented in literature before.  Since the thin skin has less collagen and elastin in elderly patients, skin tears with traction might occur easily. The fragility of the skin in the elderly patients has to be taken into consideration with other complications presented in the literature.

Keywords: Elderly patient, shoulder dislocation, skin tear


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