Posterior glenohumeral joint dislocation: A rare complication of central venous cannulation in a patient undergoing coronary artery surgery

摘要

A 52-year-old, 178-cm, 108-kg man with a history of coronary artery disease and several myocardial infarctions was referred to the authors' institution for elective CABG surgery. The past medical history was notable for hypertension, diabetes mellitus, hypercholesteremia, and chronic obstructive pulmonary disease. The patient denied a past history of previous trauma, fracture, dislocation, or repetitive joint use such as in sports of the upper extremity and shoulder. The patient had normal neck anatomy, including the length and diameter of the neck. He did have a muscular body profile.After placement of peripheral intravenous and arterial catheters, the patient was taken to the operating room and was assisted onto the table without difficulty. His head was positioned on a "donut" support. The patient was secured in the supine position with a belt across his lower extremities. His upper extremities rested on arm boards but remained mobile. A bolster between the scapulae was not used.