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Extreme Rotational Malunion of the Humerus A Case Report
Hyun Bae, MD; Roger F. Widmann, MD; Robert N. Hotchkiss, MD
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Investigation performed at The Hospital for Special Surgery, New York, NY
Hyun Bae, MD
Roger F. Widmann, MD
Robert N. Hotchkiss, MD
The Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021. E-mail address for R.F. Widmann: widmannr@hss.edu. E-mail address for R.N. Hotchkiss: hotchkissr@hss.edu
No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this a­rticle. No funds were received in support of this study.

J Bone Joint Surg Am, 2001 Mar 01;83(3):424-424
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Humeral shaft fractures are uncommon in childhood, representing between 0.2% and 3.4% of all pediatric fractures1,2. Although rotational malalignment is recognized as a complication of humeral shaft fractures in adults, the common internal rotation deformity is well tolerated and the mild loss of external rotation is said to be of no im­portance3,4. Extreme external rotation deformity following a humeral shaft fracture in a child is extremely rare, and only a single case, to our knowledge, has been reported5. We report a case of severe external rotation deformity of a closed midshaft humeral fracture in a child that resulted in shortening of the humerus, limited external rotation of the shoulder, and a severe flexion contracture of the elbow.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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