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Shearing Osteochondral Fracture of the Humeral Head

A Case Report

Campbell, Megan BA1; Fan, Bensen MD1; Galdi, Balazs MD1

doi: 10.2106/JBJS.CC.18.00094
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Case: A 30-year-old man was found to have a posteriorly displaced osteochondral shear fracture of his left humeral head, likely from dislocation and relocation. The fragment was fixed in its native position using headless screws, and the patient regained full strength and range of motion within 9 months.

Conclusions: Osteochondral shear fractures of the humeral head appear to shear off the anteromedial articular joint surface after dislocation and relocation. One should be suspicious for associated labral tears. Arthroplasty is a valid treatment option, but select patients may be eligible for other viable options.

1New Jersey Medical School, Rutgers University, New Jersey Orthopaedic Institute, Newark, New Jersey

E-mail address for B. Fan: bfan86@gmail.com

Investigation Performed at Rutgers University, New Jersey Medical School, Department of Orthopaedic Surgery, Newark, New Jersey

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/A783).

Copyright © 2019 by The Journal of Bone and Joint Surgery, Incorporated
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