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Correspondence: Dr Andrew H C Tan, email@example.com
Posterior dislocation of the shoulder is a rare and commonly missed injury. While prompt diagnosis and treatment is important to prevent untoward sequelae, it is often diagnosed and treated too late. The first reported case of a posterior fracture-dislocation of the humeral head following a domestic electrocution accident in Singapore is described in a 52-year-old man. The injury was missed by several doctors before a humeral head replacement was done. The diagnostic pitfalls and management of this injury and ways to avoid a missed or delayed diagnosis are discussed.
Keywords: electrocution accident, fracture-dislocation, missed dislocation, posterior shoulder dislocation
Singapore Med J 2005; 46(4): 189-192