Osteochondral Shearing Fracture of the Humeral Head Associated with Traumatic Anterior Shoulder Dislocation: A Case Report

JBJS Case Connect. 2021 Jul 15;11(3). doi: 10.2106/JBJS.CC.20.00938.


Case: Osteochondral shearing fracture of the humeral head after an anterior shoulder dislocation is a condition that has rarely been reported in literature. We report a case of a large posteriorly located fragment of such a fracture in a 23-year-old man. We performed open reduction and internal fixation with resorbable pins through a deltopectoral approach and subscapularis tenotomy.

Conclusion: In our case of a large osteochondral fracture of the posterior humeral head, treatment by open reduction and internal fixation showed an excellent radiographic result at 1 year and clinical result up to 5 years postoperatively.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Humans
  • Humeral Head / diagnostic imaging
  • Humeral Head / surgery
  • Male
  • Open Fracture Reduction
  • Shoulder
  • Shoulder Dislocation* / complications
  • Shoulder Dislocation* / diagnostic imaging
  • Shoulder Dislocation* / surgery
  • Shoulder Fractures* / complications
  • Shoulder Fractures* / diagnostic imaging
  • Shoulder Fractures* / surgery
  • Young Adult