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| IMAGE QUIZ ARCHIVE | ||||||
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Image Quiz An Uncommon Complication of an Injury to the Shoulder1 (continued) | ||||||||||
| Answer: (Fig. 1) Salter-Harris type II fracture of the proximal humeral physis. Note the Thurstan Holland fragment medially. A lateral radiograph showed <10° of angulation at the fracture. | ||||||||||
| He was treated with immobilization in a Gilchrist sling. After three weeks of immobilization, there was no tenderness of the proximal portion of the right humerus. The patient started a physiotherapy program, and he had a full, pain-free range of motion of the right shoulder by six weeks after the injury. One month later, radiographs revealed a healed fracture of the proximal portion of the right humerus with no radiographic changes in the epiphysis. By this time, the patient had joined a rowing team and had no discomfort or problems with the right shoulder. | ||||||||||
| Seven months after the injury, the patient returned for treatment. He described a mild, intermittent ache in the right shoulder, which he had first noticed after colliding with the boards during hockey practice three weeks previously. Plain radiographs (Fig. 2) were made and magnetic resonance imaging (Fig. 3) was performed. | ||||||||||
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 Fig. 2 |
 Fig. 3 |
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What is the diagnosis? | ||||||||||
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