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January 31, 1966

Humeral Neck Fracture With Inferior Subluxation of the Shoulder Joint

Author Affiliations

From the Fracture Clinic, Massachusetts General Hospital, Boston.

JAMA. 1966;195(5):380-382. doi:10.1001/jama.1966.03100050088027

Dr. Turner:  In the next three months we will present consecutive cases of severe fractures involving the surgical neck of the humerus.A 74-year-old housewife entered the emergency ward of the Massachusetts General Hospital one hour following an injury to her left shoulder. She reported that on entering her bathroom before breakfast she had tripped and fallen heavily on her left shoulder. There was immediate severe pain in the shoulder. Motion of the shoulder increased her pain.A review of systems revealed that the patient had mild diabetes mellitus requiring 30 units of isophane insulin suspension (NPH insulin) daily, and mild hypertensive cardiovascular disease without decompensation.Physical examination revealed an elderly female in satisfactory general condition. There was moderate swelling of the left shoulder. The skin was intact. The arm was held in 30 degrees of abduction. Sensation, motor function, and circulation of the hand and forearm were normal.X-ray

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