Proximal Humerus Fracture: An Uncommon Manifestation Following Domestic Electrical Shock

Electrical injuries are associated with multiple factors, including the current itself, the amount of current flowing through the body during electrocution, the duration of the flow, and the duration of exposure. The instances of bone fracture following electrocution are limited. This article such a rare incident, where an elderly woman suffered an electrical shock at her residence while switching off the refrigerator. The woman complained of intense pain around her left shoulder, with restricted movement of the shoulder joint, without any history of a fall or other trauma. Detailed physical and radiologic examinations revealed an electrical entry wound on the left palm and a proximal humerus fracture. The patient underwent surgery and was discharged without complications. This case highlights bone fracture as a rare manifestation of electrocution resulting from violent muscular contractions as electricity passes through the body, even in cases of domestic low-voltage electrical shock. The authors recommend a meticulous general physical examination and radiologic imaging with X-rays and computed tomography (CT) scans, which may assist forensic assessment of how such injuries may occur.