INJURIES ABOUT THE SHOULDER JOINT IN CHILDREN, EXCLUSIVE OF FRACTURES OF THE CLAVICLE

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Abstract
The most common injury about the shoulder joint, excluding fracture of the clavicle, in children admitted to the Children's Surgical Service of Bellevue Hospital, was fracture of the upper end of the humerus. Fracture of the upper end of the humerus occurred three times as often in children over six years of age as in children under that age. The majority of fractures of the upper end of the humerus were caused by falls. The fractures occurred more often in the left than in the right humerus. There were only three pathologic fractures of the upper end of the humerus in this series. Most of these fractures of the humerus were unaccompanied by associated injuries. Good anatomic restoration of the fragments, while desirable, is not essential, as nature remolds the bone. There was but one case of dislocation of the head of the humerus. There were three cases of fracture of the body of the scapula and these were caused by severe trauma. Acromioclavicular separation and fracture of the acromium process occurred only in children with previously weakened arms on the same side as the injury.

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