BMJ Case Reports 2012; doi:10.1136/bcr-2012-007478
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Intrathoracic fracture-dislocation of the humeral head. Is removal of the humeral head necessary?

  1. Ronan Cahill2
  1. 1Department of Surgery, Royal College of Surgeons in Ireland, Dublin, Ireland
  2. 2Department of Surgery, Beaumont Hospital, Dublin, Ireland
  1. Correspondence to Dr Simon Rajendran, simonrajendran{at}


We present a case of a 68-year-old female who presented to the emergency department with shortness of breath and right shoulder pain after falling down a flight of stairs. Chest x-ray revealed multiple rib fractures and a large haemothorax on the right side (figure 1A). x-Ray of the humerus showed a complex fracture of the surgical neck of the humerus with …

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