A Shearing Osteochondral Fracture of the Humeral Head following an Anterior Shoulder Dislocation in a Child

HSS Journal


David M. Scher, MD

Associate Attending Orthopedic Surgeon, Hospital for Special Surgery
Associate Professor, Weill Cornell Medical College

Hollis G. Potter, MD

Chief, Division of Magnetic Resonance Imaging
Attending Radiologist, Hospital for Special Surgery
Professor of Radiology, Weill College of Medicine of Cornell University

Yun Sun Choi, MD
Hospital for Special Surgery

Abstract
A dislocation of the shoulder joint is rare in children with an open physis. The fractures associated with an anterior dislocation generally reported in the literature have been Hill-Sachs lesions, avulsions of the greater tuberosity and glenoid fractures. We present a case of a previously unreported shearing osteochondral fracture, which is distinct from a classic Hill-Sachs lesion of the humeral head, in 12-year-old boy. The patient suffered a traumatic anterior shoulder dislocation with a spontaneous reduction along with this associated fracture. The fracture subsequently healed with no further evidence of persistent instability.

This article appears in HSS Journal: Volume 1, Number 1.
View the full article at springerlink.com.


About the HSS Journal
HSS Journal, an academic peer-reviewed journal, is published twice a year, February and September, and features articles by internal faculty and HSS alumni that present current research and clinical work in the field of musculoskeletal medicine performed at HSS, including research articles, surgical procedures, and case reports.


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