Proximal humeral fracture

Case contributed by Derek Smith
Diagnosis certain

Presentation

Fall with hard impact onto left shoulder. Tender proximal humerus with reduced painful movement.

Patient Data

Age: 45 years
Gender: Female
x-ray

Multipart proximal humeral fracture. Some shortening of surgical neck. Displaced greater tuberosity.

Increased subacromial space with lipohemarthrosis.

Case Discussion

Lipohemarthrosis is typically identified around the knee, but can be seen in other large joints, usually with significant fractures.

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