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The Journal of Bone and Joint Surgery 83:424 (2001)
© 2001 The Journal of Bone and Joint Surgery, Inc.


Case Report

Extreme Rotational Malunion of the Humerus

A Case Report

Hyun Bae, MD, Roger F. Widmann, MD and Robert N. Hotchkiss, MD

Investigation performed at The Hospital for Special Surgery, New York, NY
Hyun Bae, MD
Roger F. Widmann, MD
Robert N. Hotchkiss, MD
The Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021. E-mail address for R.F. Widmann: widmannr@hss.edu. E-mail address for R.N. Hotchkiss: hotchkissr@hss.edu
No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this a­rticle. No funds were received in support of this study.


    Introduction
 
Humeral shaft fractures are uncommon in childhood, representing between 0.2% and 3.4% of all pediatric fractures1,2. Although rotational malalignment is recognized as a complication of humeral shaft fractures in adults, the common internal rotation deformity is well tolerated and the mild loss of external rotation is said to be of no im­portance3,4. Extreme external rotation deformity following a humeral shaft fracture in a child is extremely rare, and only a single case, to our knowledge, has been reported5. We report a case of severe external rotation deformity of a closed midshaft humeral fracture in a child that resulted in shortening of the humerus, limited external rotation of the shoulder, and a severe flexion contracture of the elbow.


    Case Report
 
A nine-year-old left-hand-dominant child sustained an injury to the left upper extremity while competing in an equestrian event. The child was riding a horse at a speed estimated at 10 . . . [Full Text of this Article]


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