Sword-Like Trauma to the Shoulder with Open Head-Splitting Fracture of the Head

Figure 1

(a) Photography of the trauma during patient resuscitation indicated severe, sword-like injury to the left shoulder, with open fracture of the humeral head (arrow). (b) Preoperative anteroposterior X-ray of the left shoulder showing head-splitting fracture of the proximal humerus and presence of multiple foreign bodies (glass). (c) CT scan of the left shoulder indicating involvement of ~30% of the articular surface and the greater tuberosity. (d) Intraoperative picture after muscle and skin closure. (e) Postoperative X-ray of the left shoulder showing adequate reduction of the fragment. (f) Condition of the skin at the 10th postoperative day just before a split skin graft was about to apply.

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