title: Skin puckering an uncommon sign of underlying humeral neck fracture: a case report.
abstract: Skin puckering is a sign that is well associated with certain fractures such as supracondylar humeral fractures in children. To our knowledge, there has been only one clinical report of skin puckering associated with fractured neck of humerus of an adult. This is a second such case of fractured proximal humerus in an adult presenting with skin puckering and the first from the Republic of Ireland. Skin puckering is suggestive of soft tissue interposition and may be an important clinical sign indicating the need for internal fixation.
authors.affiliation: Department of Orthopaedics, Connolly Hospital, Blanchardstown, Dublin 15, Ireland. davarinn@yahoo.com
authors.forename: N
authors.initials: N
authors.lastname: Davarinos
authors.forename: P
authors.initials: P
authors.lastname: Ellanti
authors.forename: K S
authors.initials: KS
authors.lastname: Khan Bhambro
authors.forename: P
authors.initials: P
authors.lastname: Keogh
mesh_terms: D000328:Adult; D005260:Female; D018460:Fractures, Comminuted / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D006801:Humans; D011859:Radiography; D012784:Shoulder Fractures / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D012867:Skin / Q000473:pathology*