{"id":"https://openalex.org/W4388795604","doi":"https://doi.org/10.7759/cureus.49002","title":"Single-Stage Bilateral Reverse Shoulder Arthroplasty for a Bilateral Four-Part Fracture Dislocation of the Proximal Humerus in an Elderly Patient: A Case Report","display_name":"Single-Stage Bilateral Reverse Shoulder Arthroplasty for a Bilateral Four-Part Fracture Dislocation of the Proximal Humerus in an Elderly Patient: A Case Report","publication_year":2023,"publication_date":"2023-11-18","ids":{"openalex":"https://openalex.org/W4388795604","doi":"https://doi.org/10.7759/cureus.49002","pmid":"https://pubmed.ncbi.nlm.nih.gov/38111397","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/10726731"},"language":"en","primary_location":{"id":"doi:10.7759/cureus.49002","doi":"https://doi.org/10.7759/cureus.49002","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.49002","pdf_url":"https://assets.cureus.com/uploads/case_report/pdf/204704/20231118-14716-1dsjolv.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://assets.cureus.com/uploads/case_report/pdf/204704/20231118-14716-1dsjolv.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5093287711","display_name":"Razan A Almaghrabi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802282791","display_name":"King Fahad Specialist Hospital","ror":"https://ror.org/01m1gv240","country_code":"SA","type":"healthcare","lineage":["https://openalex.org/I2802282791"]},{"id":"https://openalex.org/I76571253","display_name":"Imam Abdulrahman Bin Faisal University","ror":"https://ror.org/038cy8j79","country_code":"SA","type":"education","lineage":["https://openalex.org/I76571253"]}],"countries":["SA"],"is_corresponding":true,"raw_author_name":"Razan A Almaghrabi","raw_affiliation_strings":["College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, SAU",". Orthopedic Surgery, King Fahad Specialist Hospital, Dammam, SAU"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, SAU","institution_ids":["https://openalex.org/I76571253"]},{"raw_affiliation_string":". Orthopedic Surgery, King Fahad Specialist Hospital, Dammam, SAU","institution_ids":["https://openalex.org/I2802282791"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5021725661","display_name":"Ali M Almousa","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802282791","display_name":"King Fahad Specialist Hospital","ror":"https://ror.org/01m1gv240","country_code":"SA","type":"healthcare","lineage":["https://openalex.org/I2802282791"]},{"id":"https://openalex.org/I76571253","display_name":"Imam Abdulrahman Bin Faisal University","ror":"https://ror.org/038cy8j79","country_code":"SA","type":"education","lineage":["https://openalex.org/I76571253"]}],"countries":["SA"],"is_corresponding":false,"raw_author_name":"Ali M Almousa","raw_affiliation_strings":["Orthopedic Surgery, King Fahad Specialist Hospital, Dammam, SAU",". College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, SAU"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Orthopedic Surgery, King Fahad Specialist Hospital, Dammam, SAU","institution_ids":["https://openalex.org/I2802282791"]},{"raw_affiliation_string":". College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, SAU","institution_ids":["https://openalex.org/I76571253"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5000219896","display_name":"Abdulmalek Almulla","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802282791","display_name":"King Fahad Specialist Hospital","ror":"https://ror.org/01m1gv240","country_code":"SA","type":"healthcare","lineage":["https://openalex.org/I2802282791"]},{"id":"https://openalex.org/I76571253","display_name":"Imam Abdulrahman Bin Faisal University","ror":"https://ror.org/038cy8j79","country_code":"SA","type":"education","lineage":["https://openalex.org/I76571253"]}],"countries":["SA"],"is_corresponding":false,"raw_author_name":"Abdulmalek Almulla","raw_affiliation_strings":["Orthopedic Surgery, King Fahad Specialist Hospital, Dammam, SAU",". College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, SAU"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Orthopedic Surgery, King Fahad Specialist Hospital, Dammam, SAU","institution_ids":["https://openalex.org/I2802282791"]},{"raw_affiliation_string":". College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, SAU","institution_ids":["https://openalex.org/I76571253"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Omar Salem","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802282791","display_name":"King Fahad Specialist Hospital","ror":"https://ror.org/01m1gv240","country_code":"SA","type":"healthcare","lineage":["https://openalex.org/I2802282791"]},{"id":"https://openalex.org/I76571253","display_name":"Imam Abdulrahman Bin Faisal University","ror":"https://ror.org/038cy8j79","country_code":"SA","type":"education","lineage":["https://openalex.org/I76571253"]}],"countries":["SA"],"is_corresponding":false,"raw_author_name":"Omar Salem","raw_affiliation_strings":["Orthopedic Surgery, King Fahad Specialist Hospital, Dammam, SAU",". College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, SAU"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Orthopedic Surgery, King Fahad Specialist Hospital, Dammam, SAU","institution_ids":["https://openalex.org/I2802282791"]},{"raw_affiliation_string":". College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, SAU","institution_ids":["https://openalex.org/I76571253"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5052944093","display_name":"Latifah Al Mana","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802282791","display_name":"King Fahad Specialist Hospital","ror":"https://ror.org/01m1gv240","country_code":"SA","type":"healthcare","lineage":["https://openalex.org/I2802282791"]},{"id":"https://openalex.org/I76571253","display_name":"Imam Abdulrahman Bin Faisal University","ror":"https://ror.org/038cy8j79","country_code":"SA","type":"education","lineage":["https://openalex.org/I76571253"]}],"countries":["SA"],"is_corresponding":false,"raw_author_name":"Latifah Almana","raw_affiliation_strings":["Orthopedic Surgery, King Fahad Specialist Hospital, Dammam, SAU",". College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, SAU"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Orthopedic Surgery, King Fahad Specialist Hospital, Dammam, SAU","institution_ids":["https://openalex.org/I2802282791"]},{"raw_affiliation_string":". College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, SAU","institution_ids":["https://openalex.org/I76571253"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5093287711"],"corresponding_institution_ids":["https://openalex.org/I2802282791","https://openalex.org/I76571253"],"apc_list":null,"apc_paid":null,"fwci":0.4494,"has_fulltext":true,"cited_by_count":2,"citation_normalized_percentile":{"value":0.63604368,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":93},"biblio":{"volume":"15","issue":"11","first_page":"e49002","last_page":"e49002"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10280","display_name":"Shoulder Injury and Treatment","score":0.9984999895095825,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10280","display_name":"Shoulder Injury and Treatment","score":0.9984999895095825,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10512","display_name":"Orthopaedic implants and arthroplasty","score":0.0005000000237487257,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10630","display_name":"Orthopedic Surgery and Rehabilitation","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/proximal-humeral-fractures","display_name":"proximal humerus fracture","score":0.8880000114440918},{"id":"https://openalex.org/keywords/reverse-shoulder-arthroplasty","display_name":"reverse shoulder arthroplasty","score":0.9760000109672546},{"id":"https://openalex.org/keywords/elderly-patients","display_name":"elderly patients","score":0.9319999814033508},{"id":"https://openalex.org/keywords/osteoporosis","display_name":"osteoporosis","score":0.8309999704360962},{"id":"https://openalex.org/keywords/motor-vehicle-accidents","display_name":"motor vehicle accidents","score":0.8519999980926514},{"id":"https://openalex.org/keywords/constant-score","display_name":"Constant score","score":0.8040000200271606},{"id":"https://openalex.org/keywords/dash-score","display_name":"DASH score","score":0.9810000061988831}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9790748953819275},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.6974058747291565},{"id":"https://openalex.org/C2777560053","wikidata":"https://www.wikidata.org/wiki/Q503629","display_name":"Avascular necrosis","level":3,"score":0.6875396370887756},{"id":"https://openalex.org/C2778336525","wikidata":"https://www.wikidata.org/wiki/Q708178","display_name":"Arthroplasty","level":2,"score":0.5632578134536743},{"id":"https://openalex.org/C2781411149","wikidata":"https://www.wikidata.org/wiki/Q486975","display_name":"Implant","level":2,"score":0.49024897813796997},{"id":"https://openalex.org/C68312169","wikidata":"https://www.wikidata.org/wiki/Q216685","display_name":"Orthopedic surgery","level":2,"score":0.48692190647125244},{"id":"https://openalex.org/C2780051367","wikidata":"https://www.wikidata.org/wiki/Q6005940","display_name":"Impaction","level":2,"score":0.4438464045524597},{"id":"https://openalex.org/C2777601897","wikidata":"https://www.wikidata.org/wiki/Q3409113","display_name":"Presentation (obstetrics)","level":2,"score":0.431255042552948},{"id":"https://openalex.org/C2778263588","wikidata":"https://www.wikidata.org/wiki/Q5940721","display_name":"Humerus fracture","level":3,"score":0.4206411838531494},{"id":"https://openalex.org/C2776206872","wikidata":"https://www.wikidata.org/wiki/Q162595","display_name":"Humerus","level":2,"score":0.3847830295562744},{"id":"https://openalex.org/C2779100257","wikidata":"https://www.wikidata.org/wiki/Q582849","display_name":"Femoral head","level":2,"score":0.3483933210372925}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.7759/cureus.49002","doi":"https://doi.org/10.7759/cureus.49002","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.49002","pdf_url":"https://assets.cureus.com/uploads/case_report/pdf/204704/20231118-14716-1dsjolv.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:10726731","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/10726731","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10726731/pdf/cureus-0015-00000049002.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"Text"},{"id":"pmid:38111397","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/38111397","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"Case Reports"}],"best_oa_location":{"id":"doi:10.7759/cureus.49002","doi":"https://doi.org/10.7759/cureus.49002","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.49002","pdf_url":"https://assets.cureus.com/uploads/case_report/pdf/204704/20231118-14716-1dsjolv.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9922999739646912,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4388795604.pdf","grobid_xml":"https://content.openalex.org/works/W4388795604.grobid-xml"},"referenced_works_count":17,"referenced_works":["https://openalex.org/W796269709","https://openalex.org/W1949547359","https://openalex.org/W1976393464","https://openalex.org/W2137206706","https://openalex.org/W2165152388","https://openalex.org/W2547665805","https://openalex.org/W2800716386","https://openalex.org/W2969683284","https://openalex.org/W3043493097","https://openalex.org/W3087808493","https://openalex.org/W3144939791","https://openalex.org/W3153332774","https://openalex.org/W3175905524","https://openalex.org/W3197243223","https://openalex.org/W4224280247","https://openalex.org/W4293439772","https://openalex.org/W4318669315"],"related_works":["https://openalex.org/W2969683284","https://openalex.org/W4304893381","https://openalex.org/W4294768210","https://openalex.org/W3045304542","https://openalex.org/W4224280247","https://openalex.org/W4229447701","https://openalex.org/W7133227747","https://openalex.org/W4403977962","https://openalex.org/W4404635288","https://openalex.org/W4303710021"],"abstract_inverted_index":{"Proximal":[0],"humerus":[1],"fractures":[2],"(PHFs)":[3],"are":[4,14,23],"a":[5,31,40,52,66,73,139,146,232,260,291],"common":[6],"type":[7],"of":[8,122,179,266,274,284],"fracture":[9,104,141],"in":[10,39,51,281,296],"adults.":[11],"Although":[12],"PHFs":[13,22],"common,":[15],"bilateral":[16,78,103,107,148,304],"presentation":[17],"is":[18,114],"extremely":[19],"rare.":[20],"Most":[21],"treated":[24],"conservatively.":[25],"In":[26,226],"this":[27,275],"report,":[28],"we":[29],"describe":[30],"69-year-old":[32],"right-hand-dominant":[33],"male":[34],"patient":[35,144,246],"who":[36],"was":[37,58,84,97,152,156,229,250],"involved":[38],"high-impact":[41],"motor":[42],"vehicle":[43],"accident":[44],"(MVA).":[45],"The":[46,89,143,159],"patient's":[47,129],"upper":[48],"limbs":[49],"were":[50,187],"fully":[53],"extended":[54],"position":[55],"while":[56],"he":[57,64,249],"holding":[59],"the":[60,70,120,128,173,180,245,253,256,264,282],"driving":[61],"wheel,":[62],"where":[63],"sustained":[65],"side":[67,258],"impaction":[68],"to":[69,116,270,299],"car":[71],"by":[72],"hard":[74],"object":[75],"that":[76,94,248,289],"caused":[77],"four-part":[79,305],"PHF":[80,306],"with":[81,244,252,259,278,307],"dislocation,":[82],"which":[83,151,237],"confirmed":[85],"on":[86,231,263],"radiological":[87],"investigations.":[88],"orthopedic":[90,285],"surgery":[91,286],"team":[92],"believed":[93],"surgical":[95],"treatment":[96],"necessary":[98],"and":[99,138,164,168,177,183,194,202,205,211,220],"ideal":[100],"for":[101],"these":[102],"dislocations,":[105],"specifically":[106],"reverse":[108],"total":[109],"shoulder":[110],"arthroplasty":[111],"(RTSA).":[112],"This":[113],"due":[115],"multiple":[117],"factors,":[118],"including":[119],"risk":[121],"humeral":[123],"head":[124],"avascular":[125],"necrosis":[126],"(AVN),":[127],"advanced":[130],"age,":[131],"low":[132],"demand,":[133],"poor":[134],"bone":[135],"stock,":[136],"osteoporosis,":[137],"non-fixable":[140],"pattern.":[142],"underwent":[145],"single-stage":[147],"RTSA":[149],"procedure,":[150],"well":[153],"tolerated.":[154],"He":[155],"optimized":[157],"postoperatively.":[158],"post-operative":[160],"X-ray":[161],"showed":[162],"good":[163,217],"satisfactory":[165,301],"implant":[166],"positions":[167],"orientation.":[169],"Functional":[170],"assessment":[171],"using":[172],"Constant-Murley":[174],"Score":[175],"(CMS)":[176],"Disabilities":[178],"Arm,":[181],"Shoulder":[182],"Hand":[184],"(DASH)":[185],"score":[186,262],"calculated":[188],"at":[189,197,206],"three-months":[190],"follow-up":[191,199,208,243],"(right-left:":[192,200,209],"50-60":[193],"41-14,":[195],"respectively),":[196,204],"five-months":[198],"34-66":[201],"38-14,":[203],"eight-months":[207],"40-68":[210],"24-7.5,":[212],"respectively).":[213],"Follow-up":[214],"X-rays":[215],"revealed":[216],"tuberosities":[218],"healing,":[219],"no":[221],"loosening":[222],"or":[223],"scapular":[224],"notching.":[225],"addition,":[227],"pain":[228,240,261],"assessed":[230],"numerical":[233],"rating":[234],"scale":[235],"(NRS),":[236],"demonstrated":[238,247],"fast":[239],"relief.":[241],"Short-term":[242],"satisfied":[251],"surgery,":[254],"especially":[255],"left":[257],"NRS":[265],"one.":[267],"We":[268],"selected":[269],"share":[271],"our":[272,279],"experience":[273],"complex":[276],"case":[277],"peers":[280],"field":[283],"worldwide":[287],"so":[288],"such":[290],"procedure":[292],"could":[293],"be":[294],"implemented":[295],"similar":[297],"cases":[298],"ensure":[300],"outcomes":[302],"following":[303],"dislocation.":[308]},"counts_by_year":[{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":1}],"updated_date":"2026-10-30T12:39:25.321706","created_date":"2023-11-19T00:00:00"}