Abstract
Background: Slipped proximal humeral epiphysis (SPHE) has rarely been described in the literature. In addition, to these authors’ knowledge, this condition has not previously been described in the literature as occurring following a fall such as occurred in this case. This contributes a potential mechanism of injury to this uncommon finding.
Case: The patient was a 10-year-old male who presented with upper arm/shoulder pain and swelling after a fall in the shower. Upon initial x-ray imaging, he was found to have fracture of the metaphysis of the proximal right humerus with widening of the proximal humeral physis. Five-week follow up x-ray demonstrated healing changes of the proximal humeral fracture, with interval inferolateral displacement of the proximal humeral epiphysis relative to the humeral shaft.
Conclusion: SPHE may occur in an injury that involves fracture of the proximal humeral epiphysis, including in an uncommonly described setting for this type of injury.
Published on: July 11, 2025
doi: 10.17756/micr.2025-117
Citation: Reyes D, Buxton J, Jorgensen S. 2025. Slipped Proximal Humeral Epiphysis. J Med Imaging Case Rep 9(1): 26-28.
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