To present the case of an 18-year-old collegiate decathlete with a Salter-Harris type I epiphyseal plate fracture of the proximal humerus.
A collegiate decathlete was playing flag football and fell on an outstretched arm. He was taken to the emergency room and diagnosed with a type I epiphyseal plate fracture.
AC sprain, dislocation or subluxation, rotator cuff tear, labral tear.
Active and passive range of motion exercises were completed after two days of immobilization. He then started strengthening exercises and returned to competitive activity in 10 weeks.
Proximal humeral epiphyseal plate fractures are uncommon injuries, especially in athletes over the age of 15.
If an accurate diagnosis is made, an appropriate conservative rehabilitation program can be implemented to safely return an athlete to participation without permanent deformity following a type I Salter-Harris fracture.
Thomas Bowman is with the Department of Health Sciences and Human Performance at Lynchburg College in Lynchburg, VA. E-mail: firstname.lastname@example.org. Riann Palmieri-Smith is with the University of Michigan, Division of Kinesiology in Ann Arbor.