Tehran University of Medical Sciences Journal of Orthopedic and Spine Trauma 2538-2330 5 4 2020 10 31 110 2 Salar Baghbani Department of orthopaedic surgery, Sina hospital, Tehran university of medical sciences, Tehran, Iran Mohsen Rezaei Nosrati Department of Orthopaedic Surgery, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran Yousef Fallah Department of Orthopaedic Surgery, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran Babak Siavashi Department of Orthopaedic Surgery, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran Mohammad Reza Golbakhsh Department of Orthopaedic Surgery, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran 2020 06 07 2020 10 31 Background: Intraosseous stab wounds are extremely rare. Only a few cases have been reported in the upper extremity. Case Report: In this report, we presented a case of stab wound to the right shoulder with penetration to the scapula. The patient was successfully managed in a team-based approach. During a 12-month follow-up, he showed no abnormality in passive and active movements or physical examination. Conclusion: Relying on the physical examinations and paraclinical studies may be an appropriate substitution for exploration surgery when possible iatrogenic injuries may affect the patient's quality of life.   https://jost.tums.ac.ir/index.php/jost/article/view/189 https://jost.tums.ac.ir/index.php/jost/article/download/189/167