Salter-Harris type III fracture-dislocation of the proximal humerus.
Salter-Harris type III fractures of the proximal humerus are rare injuries. We report a Salter-Harris type III anterior fracture-dislocation of the proximal humerus in a 10-year-old boy that was open reduced and internally stabilized. A bone scan performed during the initial hospitalization and at 2-year follow-up revealed devascularization and subsequent revascularization of the humeral head. At 2-year follow-up, the patient had full motion of the shoulder, no pain, and arm strength equal to that of the contralateral side. Four cases of Salter-Harris type III fractures of the proximal humerus have been previously reported; good early clinical outcomes were obtained in all. Despite devascularization of the epiphyseal fragment, excellent clinical outcomes may result.
Wang
P
P
Department of Orthopaedic Surgery, Hospital for Joint Diseases Orthopaedic Institute, New York, NY 10003, USA.
Koval
K J
KJ
Lehman
W
W
Strongwater
A
A
Grant
A
A
Zuckerman
J D
JD
D002648:Child; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000009:adverse effects; D017102:Fracture Healing; D006801:Humans; D004204:Joint Dislocations / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D010020:Osteonecrosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology; D011877:Radionuclide Imaging; D016059:Range of Motion, Articular; D012784:Shoulder Fractures / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery*; D012785:Shoulder Joint / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery; D014057:Tomography, X-Ray Computed