Severe Thoracic Trauma Due to an Intrathoracic Dislocation of a Fractured Humeral Head in an Aged Patient; A Case Report

Fracture and intrathoracic dislocation of the humeral head are extremely rare and often the result of a severe trauma. we herein report a case of humeral head fracture and dislocation with displacement into the chest cavity. a 75-year-old man fell down the stairs at home, landing on the right half of his body. clinical impressive was a massive skin emphysema on the right hemithorax. a chest x-ray was performed. conspicuous was a dubious opacity in the right subfield of the lung. the following ct-scan showed an additional fracture of the right scapula, a lung contusion and as “corpus delicti” a right intrathoracic dislocated humeral head fracture. the current case is extremely rare pattern of injury and the surgical emergency management is discussed. in most patients, a thoracotomy, which is related to a higher lethality and higher morbidity, can be avoided, if after stabilization a video assisted thoracoscopy is performed for revision of the pleural cavity and extraction of the humeral head.