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The Journal of Bone and Joint Surgery 80:889-91 (1998)
© 1998 The Journal of Bone and Joint Surgery, Inc.

Case Report

Fracture-Dislocation of the Humerus with Intrathoracic Displacement of the Humeral Head. A Case Report*

NATHAN S. SIMPSON, M.D.{dagger}, JOHN R. SCHWAPPACH, M.D.{dagger} and E. BRUCE TOBY, M.D.{dagger}, KANSAS CITY, KANSAS

Investigation performed at the Section of Orthopedic Surgery, University of Kansas Medical Center, Kansas City


   Introduction
 
Of the glenohumeral fracture-dislocations that have been described in the orthopaedic literature, those involving intrathoracic displacement of the humeral head are the least common3. We describe here the case of an adolescent patient who sustained a fracture-dislocation of the proximal part of the humerus with intrathoracic displacement of the humeral head when she was struck by a motor vehicle.


   Case Report
 
A fourteen-year-old girl was running across the road when she was struck on her left side by a motor vehicle that was traveling at a speed of approximately thirty-five miles (fifty-six kilometers) per hour. She was thrown about twenty feet (six meters) and landed on her right side. When she was seen in the emergency department at the University of Kansas Medical Center, she had pain in the right shoulder and upper extremity and she resisted attempts to move the extremity. The vital signs included a pulse of seventy-two beats . . . [Full Text of this Article]


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B. Kocer, G. Gulbahar, C. N. Aktekin, N. Gunal, B. Birinci, K. Dural, and U. Sakinci
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Ann. Thorac. Surg., October 1, 2007; 84(4): 1371 - 1372.
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