Case ReportsOpen Reduction of a Fracture-Dislocation of the Shoulder in an 11-Month-Old Child A Case ReportYoung, Joseph R. MD1,a; Mantica, Abigail L. MD1 Author Information 1Division of Orthopaedic Surgery, Albany Medical Center, Albany, New York aE-mail address for J.R. Young: [email protected] Investigation performed at Albany Medical Center, Albany, New York Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (https://links.lww.com/JBJSCC/B487). JBJS Case Connector 11(2):e20.01037, April-June 2021. | DOI: 10.2106/JBJS.CC.20.01037 Buy Metrics Abstract Case: An 11-month-old boy was brought to the emergency department because he was refusing to use his right arm. X-rays demonstrated an anteroinferior Salter-Harris I fracture-dislocation of the proximal humeral epiphysis. Closed reduction with sedation was unsuccessful, so open reduction under general anesthesia was pursued. At 2 years, the patient has made a full recovery. Conclusion: Pediatric shoulder fracture-dislocations are rare. Clinicians must have a high index of suspicion for nonaccidental trauma when evaluating such injuries. When this injury is encountered in patients younger than 1 year, open reduction of the proximal humeral epiphysis can be a successful treatment option. Copyright © 2021 by The Journal of Bone and Joint Surgery, Incorporated
