title: Co-existing fractures of the proximal humerus and humeral shaft without shoulder dislocation--a rare injury.
abstract: Multiple fractures of the humerus are a rare injury and usually associated with high-energy trauma. We report an unusual injury with co-existing fractures of the proximal humerus and humeral shaft without shoulder dislocation. We discuss our experience in the diagnosis and treatment of a 39-year-old man with co-existing fractures of proximal humerus and ipsilateral humeral shaft with radial nerve deficit. He was successfully managed with open reduction and fixation of the fractures. At follow-up 1 year after injury, he is back at work and has a good range of shoulder movements. The radial nerve injury is showing signs of recovery. In high-energy trauma to the shoulder, unusual fracture patterns with associated neurovascular deficits may be seen and this case report describes our experience with one such rare injury.
authors.affiliation: Department of Trauma and Orthopaedics, University Hospital of North Tees, Stockton-on-Tees, UK. shreya19@gmail.com
authors.forename: S
authors.initials: S
authors.lastname: Srinivas
authors.forename: A
authors.initials: A
authors.lastname: Kasis
mesh_terms: D000328:Adult; D005592:Fracture Fixation / Q000379:methods; D006801:Humans; D006810:Humeral Fractures / Q000000981:diagnostic imaging* / Q000601:surgery; D008297:Male; D009104:Multiple Trauma / Q000000981:diagnostic imaging* / Q000601:surgery; D011826:Radial Nerve / Q000293:injuries; D011859:Radiography; D012783:Shoulder Dislocation; D000070599:Shoulder Injuries; D012785:Shoulder Joint / Q000000981:diagnostic imaging / Q000601:surgery