# Fixation of Paediatric Proximal Humerus Fractures Using Percutaneous Pinning: A Case Report

## TL;DR

A 12-year-old boy with a shoulder fracture was successfully treated with percutaneous pinning, leading to near-normal recovery.

## Contribution

This case report demonstrates the effectiveness of percutaneous K-wiring for pediatric proximal humerus fractures.

## Key findings

- Percutaneous K-wiring successfully treated a displaced proximal humerus fracture in a 12-year-old.
- The patient regained near-normal shoulder function after four weeks of fixation and rehabilitation.
- Good post-operative rehabilitation is crucial for functional recovery in such cases.

## Abstract

A 12-year-old male came to our Emergency Department with chief complaints of pain and inability to move the right shoulder for one day following a fall while playing. The range of motion of the right shoulder was restricted and painful in all directions. Initial radiographs revealed a transverse, displaced proximal humerus fracture at the head-shaft junction. The patient was managed by closed reduction internal fixation with percutaneous K-wiring (Kirschner wires). The K-wires were removed after four weeks, and the shoulder was mobilized. The patient had a near-normal and pain-free range of motion at three months of follow-up. Percutaneous K-wiring remains a viable option for the treatment of paediatric proximal humerus fractures, and good post-operative rehabilitation can help restore near-normal function, as demonstrated in this report.