PMC4897205_01
Clinical photograph showing extent of skin puckering at first presentation to the Emergency Department.
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F1
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).
Radiograph showing minimally displaced fracture through the surgical neck of the left Humerus.
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F2
Initial radiographs were performed which demonstrated a minimally displaced transverse fracture through the surgical neck of the left humerus (Fig. 2). 
Intra-operative clinical photograph immediately post-reduction showing the extent of the skin entrapment, despite this the skin appeared viable.
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F3
The skin appeared viable despite being incarcerated for over twelve hours (Fig. 3).
Radiograph from follow-up fracture clinic appointment showing no loss of reduction.
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F4
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).