23-year-old woman with highly comminuted ballistic proximal humerus fracture

A 23-year-old woman presented to the ED after suffering multiple gunshot injuries to bilateral shoulders, abdomen and pelvis.Upon initial presentation, the patient was emergently taken for exploratory laparotomy and small bowel resection by the trauma service. On initial examination, the patient was found to be neurovascularly intact to the right upper extremity. Deltoid firing was unable to be