Shoulder fractures

A 20-year-old male was walking across an intersection and was stuck by a car that went through a stop signal. He fell onto his outstretched left upper extremity was taken to the Orthopaedic Trauma Service at the Hospital for Special Surgery and placed under the care of David L. Helfet, MD for evaluation and treatment of his injuries.

Radiographs revealed a comminuted 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.

  • Figure A

    Figure A

    Anteroposterior (AP) and lateral radiographs a comminuted 4-part proximal humerus fracture and associated shoulder dislocation with medial comminution.


  • Figure B

    Figure B

    CT scan images further delineating the fracture pattern and medial comminution.


  • Figure C

    Figure C

    Pre-operative plan (top image) and fluoroscopic images following fracture surgery showing an acceptable reduction and placement of fixation construct.


  • Figure D

    Figure D

    Radiographs at 4 months illustrating a healed proximal humerus fracture in excellent alignment.


Tags: ,

Our Patients

  • “I told Dr. Helfet that he’s my hero. Without him, I would never have had the life I am living.”

    ~ Maxime Heinsbroek

    Read Full Story

  • “They were able to piece me back together where others were not.”

    ~ J. D. Pelaez

    Read Full Story

  • “We never would have gotten through this without HSS.”

    ~ Robert Casale

    Read Full Story

  • “I can live a normal life and enjoy life once again.”

    ~ Ron Pollicino

    Read Full Story

  • “I immediately felt taken care of and safe after a traumatic time.”

    ~ Kathleen Wells

    Read Full Story

  • “Dr. Helfet saved my leg. I was told I could never walk again. He is the best in the whole world.”

    ~ Patricia Valero

    Read Full Story

  • “We could not have wished for a better outcome given a very severe and untimely injury.”

    ~ James DeSousa

    Read Full Story

David L. Helfet, MD

535 East 70th Street
New York, NY 10021

212-606-1888 phone
212-628-4473 fax

New York Fracture Care

Contact Us

David L. Helfet, MD 

Dean G. Lorich, MD

David S. Wellman, MD