case_images: PMC4897205_01
case_images: Clinical photograph showing extent of skin puckering at first presentation to the Emergency Department.
case_images: TOORTHJ-10-120_F1.jpg
case_images: PMC4897205_01_TOORTHJ-10-120_F1.jpg
case_images: F1
case_images: On arrival he was examined by the emergency department registrar and found to have a tender left shoulder, with bizarre skin puckering overlying his proximal humerus anteriorly (Fig. 1).
case_images: Radiograph showing minimally displaced fracture through the surgical neck of the left Humerus.
case_images: TOORTHJ-10-120_F2.jpg
case_images: PMC4897205_01_TOORTHJ-10-120_F2.jpg
case_images: F2
case_images: Initial radiographs were performed which demonstrated a minimally displaced transverse fracture through the surgical neck of the left humerus (Fig. 2). 
case_images: Intra-operative clinical photograph immediately post-reduction showing the extent of the skin entrapment, despite this the skin appeared viable.
case_images: TOORTHJ-10-120_F3.jpg
case_images: PMC4897205_01_TOORTHJ-10-120_F3.jpg
case_images: F3
case_images: The skin appeared viable despite being incarcerated for over twelve hours (Fig. 3).
case_images: Radiograph from follow-up fracture clinic appointment showing no loss of reduction.
case_images: TOORTHJ-10-120_F4.jpg
case_images: PMC4897205_01_TOORTHJ-10-120_F4.jpg
case_images: F4
case_images: The patient was placed into a collar and cuff sling and allowed home, he attended his next two fracture clinic follow-up appointments where serial radiographs demonstrated no displacement and satisfactory healing (Fig. 4).