Salter-Harris Type III Fracture-Dislocation of the Proximal Humerus

Pediatric proximal humerus fractures are an uncommon injury; fracture-dislocations are even more rare. These are most often Salter-Harris (SH) type I or II injuries, and they rarely require operative intervention. This report details the management of an SH III fracture-dislocation in a 10-year-old. The incarcerated articular fragment necessitated an open reduction and was stabilized with percutaneous Kirschner wires. At the one-year follow-up, the patient has regained a full range of motion, and there are no signs of avascular necrosis. The current study adds to the paucity of literature on the management and outcomes of an exceedingly rare injury.