A 20 year-old male was walking accross an intersection and was stuck by a car that went through a stop signal. He fell onto his outstreched left upper extremity was taken to the NYOTS for evaluation and treatment of his injuries. Radiographs revealed a comminud 4-part proximal humerus fracture and associated shoulder dislocation with extensive comminution. The fracture was reduced and fixed using a proximal humerus locking plate with multiple screws including screw fixation of the medial column and interfragmentary screws. He returned for regular follow-up and at 4 months presented with excellent radiographic and clinical results including a healed proximal humerus fracture in excellent alignment, full resolution of pain symptoms, full range of motion and a return to pre-injury activities.
IMAGES
- Figure A Anteroposterior (AP) and lateral radiographs a comminud 4-part proximal humerus fracture and associated shoulder dislocation with medial comminution.
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- Figure B CT scan images further dilineating the fracture pattern and medial comminution.
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- Figure C Preoperative plan.
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- Figure D Radiographs at 4 months illustrating a healed proximal humerus fracture in excellent alignment.
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