Strategies in Trauma and Limb Reconstruction

Register      Login

VOLUME 8 , ISSUE 2 ( August, 2013 ) > List of Articles

CASE REPORT

Pucker sign in proximal humeral fractures: implications on management

Nipun Jindal, Parmanand Gupta, Ravi Kumar Gupta, Ankush Jindal

Keywords : Surgical neck humerus fracture, Puckering, Dimpling, Buttonholing, Open reduction

Citation Information : Jindal N, Gupta P, Gupta RK, Jindal A. Pucker sign in proximal humeral fractures: implications on management. 2013; 8 (2):123-126.

DOI: 10.1007/s11751-013-0162-y

License: CC BY-NC-SA 4.0

Published Online: 01-06-2017

Copyright Statement:  Copyright © 2013; The Author(s).


Abstract

Fracture of the surgical neck of humerus in young patients is a relatively rare injury. We reviewed the available material on the topic and identified puckering at the shoulder in high-energy fracture of the surgical neck as a finding which has been reported infrequently but signifies a need for open reduction. We present a review of the literature on the subject and our similar experience in two young males who had puckering and ecchymosis at the shoulder.


PDF Share
  1. Court-Brown CM, McQueen MM, Garg A (1999) The epidemiology and outcome of proximal humeral fractures. Orthopaedic Trauma Association, Charlotte, USA
  2. Alshryda SJ, Sodak PA (2008) Skin puckering as a sign of humeral neck fracture. Ann RColl Surg Engl 90:692-693
  3. Davarinos N, Ellanti P, Khan Bhambro KS, Keogh P (2011) Skin puckering an uncommon sign of underlying humeral neck fracture: a case report. Ir J Med Sci 180:731-733
  4. Neer CS (1975) Four-segment classification of displaced proximal humeral fractures. AAOS Instr Course Lect. 24:160-168
  5. Court-Brown M, Garg A, McQueen MM (2001) The translated two-part fracture of the proximal humerus Epidemiology and outcome in the older patient. J Bone Joint Surg Br 83-B:799-804
  6. Maheshwari J, Pandey VK (2012) Pseudoarthrosis of the surgical neck of humerus treated by buttressing with a medial corticocancellous graft. Indian J Orthop 46(1):54-57
  7. Zyto K, Ahrengart L, Sperber A et al (1997) Treatment of displaced proximal humeral fractures in elderly patients. J Bone Joint Surg Br 79:412-417
  8. Michael Robinson C (2006) Proximal humerus fracture. In: Bucholz RW, Court-brown CM, Heckman JD, Tornetta P III (eds) Rockwood and Green's fracture in adults, 6th edn edn. Philadelphia, Lippincott Williams and Wilkins, p 1181
  9. Kocialkowski A, Wallace WA (1990) Closed percutaneous K-wire stabilization for displaced fractures of the surgical neck of the humerus. Injury 21:209-212
  10. Chen CY, Chao EK, Tu YK, Ueng SW, Shih CH (1998) Closed management and percutaneous fixation of unstable proximal humerus fractures. J Trauma 45:1039-1045
  11. Brubacher JW, Dodds SD (2008) Pediatric supracondylar fractures of the distal humerus. Curr Rev Musculoskelet Med 1:190-196
  12. McManus JG, Morton MJ, Crystal CS, McArthur TJ, Helphenstine JS, Masneri DA, Young SE, Miller MA (2008) Use of ultrasound to assess acute fracture reduction in emergency care settings. Am J Disaster Med 3(4):241-247
  13. Bner U, Schlicht W, Outzen S, Barthel M, Halsband H (2000) Ultrasound in the diagnosis of fractures in children. J Bone Joint Surg [Br] 82-B:1170-1173
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.