RT Journal
A1 Aufranc OE, Jones WN, Bierbaum BE
T1 EPiphysial fracture of the proximal humerus
JF JAMA
JO JAMA
YR 1969
FD January 27
VO 207
IS 4
SP 727
OP 729
DO 10.1001/jama.1969.03150170053012
UL http://dx.doi.org/10.1001/jama.1969.03150170053012
AB Dr. William Simon: This 15-year-old schoolboy entered the emergency room of the Massachusetts General Hospital one hour after sustaining an injury to the left shoulder. The patient had been playing football and, after making a block, fell on the left shoulder. He had been in good health prior to the injury. There was a history of hypersensitivity to penicillin.At the time of physical examination, he appeared as a healthy boy with the left upper extremity supported in a sling. There was no compromise of neurovascular supply to the left hand or forearm. The left shoulder was markedly swollen and diffusely tender over the proximal humerus. Any motion of the shoulder exaggerated pain. The arm was held at the side in slight abduction.Roentgenograms were taken which showed an epiphysial fracture of the proximal left humerus with a large metaphysical component (Fig 1).Following a sedative dosage of meperidine hydrochloride,