Slipped proximal humeral epiphysis

Case contributed by Dr J. Ray Ballinger

Presentation

Two weeks of right shoulder pain. He is a pitcher in little league and has been practicing and playing daily.

Patient Data

Age: 14
Gender: Male
Modality: X-ray

Subluxation and separation of the proximal humeral epiphysis (Salter-Harris I) of the right shoulder is noted. The normal left side is provided for comparison.

Case Discussion

A slipped humeral epiphysis is a known complication of teenager baseball players who are pitchers. As a result there is a limit to the number of pitches they can make over a week. This lad exceeded this number by about 50%.

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Case Information

rID: 24959
Case created: 24th Sep 2013
Last edited: 18th Sep 2015
Inclusion in quiz mode: Included

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