Clin Shoulder Elbow Search


Clin Shoulder Elbow > Volume 15(1); 2012 > Article
Clinics in Shoulder and Elbow 2012;15(1):37-42.
DOI:    Published online June 30, 2012.
Treatment of Open Proximal Humerus Fracture by Gunshot
Sung Jae Kim, Jae Hoo Lee, Yong Min Chun
Department of Orthopedic Surgery, Yonsei University College of Medicine Seoul, Korea.
총격에 의한 개방성 근위 상완골 골절의 치료
연세대학교 의과대학 정형외과학교실
To consider the proper managment of proximal humerus fracture on gunshot wounds. MATERIALS AND METHODS: A 28-year-old male patient, who sustained a gunshot injury on the left arm 5 days ago, was admitted through the emergency department. Although he underwent an emergency surgery (bullet fragment removal and debridement), there remained bullet fragments around the proximal humerus fracture site. The wound seemed to be infected and a partial dehiscence occurred. No neurologic deficit was noted. Immediate exploration and debridement were performed, and an external fixator was applied to restore the anatomical alignment and manage the wounds. Intravenous antibiotics were administered. On the 9th postoperative day, wound debridement was done again, and cement beads mixed with antibiotics were inserted. After two weeks, the external fixator was removed, and the pin sites were closed after debridement. One week later, the open reduction and internal fixation with locking compression plate and screws were done.
At 3 months after the internal fixation, the bone union was obtained with satisfactory alignment of the humerus.
The severity of the soft tissue injury influences the fracture management plan. Further, the risk on lead toxicity should be considered.
Key Words: Humerus fracture; Gunshots


Browse all articles >

Editorial Office
Department of Orthopaedic Surgery, Seoul National University Hospital,
#6603, 101 Daehak-ro, Jongno-gu, Seoul 03080, Korea
Tel: +82-2-3410-1854    Fax: +82-2-3410-0061    E-mail:                

Copyright © 2021 by Korean Shoulder and Elbow Society.

Developed in M2PI

Close layer
prev next