@article{ref1,
title="Sword-like trauma to the shoulder with open head-splitting fracture of the head",
journal="Case reports in orthopedics",
year="2016",
author="Panagopoulos, Andreas and Pantazis, Konstantinos and Iliopoulos, Ilias and Seferlis, Ioannis and Kokkalis, Zinon",
volume="2016",
number="",
pages="e3539503-e3539503",
abstract="Head-splitting fractures occur as a result of violent compression of the head against the glenoid; the head splits and the tuberosities may remain attached to the fragments or split and separate. Isolated humeral head-splitting fractures are rare injuries. Favorable results with osteosynthesis can be difficult to achieve because of the very proximal location of the head fracture and associated poor vascularity. We present a case of a 67-year-old man who sustained a severe, sword-like trauma to his left shoulder after a road traffic accident with associated isolated open Gustilo-Anderson IIIA humeral head-splitting fracture. Bony union was achieved with minimal internal fixation but the clinical outcome deteriorated due to accompanying axillary nerve apraxia. To our knowledge, this type of sword-like injury with associated humeral head-split fracture has not previously been reported.<p /> <p>Language: en</p>",
language="en",
issn="2090-6749",
doi="10.1155/2016/3539503",
url="http://dx.doi.org/10.1155/2016/3539503"
}