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