True congenital shoulder dislocation: a case report

• Published in: The Gazette of the Egyptian Paediatric Association Vol. 72; no. 1; pp. 87 - 4
• Main Authors: Dandawate, Aditi, Narkhede, Nilima, Weling, Rajaram, Devpura, Mukesh
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer Berlin Heidelberg 07.10.2024; Springer Nature B.V; SpringerOpen
• Subjects: Atraumatic; Birth injuries; Brachial plexus; Case Report; Cesarean section; Childbirth & labor; Congenital; Consent; Continuous positive airway pressure; Medicine; Medicine & Public Health; Orthopedics; Pediatrics; Shoulder dislocation; Trauma; Ultrasonic imaging; Vagina; Writing; Shoulder dislocation; Congenital; Atraumatic
• ISSN: 2090-9942; 1110-6638; 2090-9942
• DOI: 10.1186/s43054-024-00327-6

Background Congenital shoulder dislocation due to shoulder girdle malformation is called true congenital shoulder dislocation. It is an extremely rare disorder as compared with traumatic dislocation or secondary to brachial plexus injury. Case presentation We report a case of atraumatic true congenital shoulder dislocation, one of the few reported cases across the world. The baby was born of a preterm caesarean section at 30 weeks of gestation, ruling out any perinatal trauma. The baby presented with a lateral shoulder crease and reduced movements of the affected upper limb. The diagnosis was confirmed with radiographs and a sonography that ruled out physeal injury. Treatment involved prompt closed reduction and stabilization by swathing in an adducted internally rotated position for two weeks. Conclusion Owing to the rarity of this condition, the case is being reported to be archived with a handful of other such cases.