BackgroundAlthough rare, pediatric proximal humerus fractures may coexist with glenohumeral dislocations. Most of these injuries are Salter -Harris type of injuries. The treatment usually consists of closed or open reduction and k- wires fixation.The caseIn this case report; a 10-year-old girl presented with a rare traumatic humeral surgical neck fracture with a posterior shoulder dislocation that was treated by closed reduction and flexible intramedullary nailing.ConclusionPediatric humerus fracture dislocations are rare. Treatment should keep in mind preservation of the growth plate.

Reconstruction of extensive traumatic bone loss in children especially after gunshot injury represents a complex and challenging clinical entity with significant long-term morbidity. In 1986, A.C. Masquelet conceived and developed an original reconstruction technique for large diaphyseal bone defects, based on the notion of the induced a pseudo-membrane, This technique will be described in our case report.

In supine position on a radiolucent table, an osteotomy of the fibula was performed at the junction of the proximal and middle thirds through 4-cm incision. About 1cm of fibula was excised. Through a transverse incision at the lower pole of the tibial tubercle,