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.

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  • Figure B

    Figure B

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

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  • Figure C

    Figure C

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

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  • Figure D

    Figure D

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

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David L. Helfet, MD

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New York, NY 10021

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New York Fracture Care

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