Inferior Fracture Dislocation of the Shoulder in a Four Year Old Girl: Report of a Rare Case

Abstract

Fracture-dislocations of the shoulder are extremely rare in children. We report a case of inferior fracture-dislocation of the proximal humeral epiphysis in a 4-year-old girl. A Pubmed search did not reveal such a dislocation in children less than five years of age. Closed reduction is not always possible when there is a significant displacement or soft tissue interposition. The inferior fracturedislocation was successfully treated by an open reduction and Kirschner wire fixation.