A 68-year-old right-hand dominant woman was presented to the emergency department with pain in her right shoulder and elbow. She revealed that she had tripped and fallen on her outstretched right hand while she was climbing down a staircase. She sustained a closed, isolated injury to her right shoulder and radiography was carried out to confirm this injury. She was diagnosed with a right humeral fracture at the level of the surgical neck. Her injured arm was supported with a velpeau sling and she was discharged.
She was sent for follow-up to the orthopedic clinic four days later. Four days later, the lady was seen in the fracture clinic. She was wearing a velpeau sling and complained of pain in her right shoulder disproportionate to the previous diagnosis. Her arm was in neutral flexion-extension, neutral abduction-adduction, and fully internally rotated. She had pain and tenderness…
