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Dislocation of the head of the humerus is evident but there is also a fracture. This is one of the reasons it is so important to get a pre-reduction film even in classical dislocation. Fractures can complicated reductions. They can “catch” on surrounding anatomy and make reduction more difficult.
Acknowledgement: Case presented by Nahum Kovalski, BSc, MDCM, Terem Emergency Medical Centers, Jerusalem, Israel.
CLINICAL CHALLENGE: CASE 2
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