Two cases of anterior dislocation of the shoulder and ipsilateral fracture of the shaft of the humerus were repored. The mechanism of the injuries was a direct high energy force acting on the elbow that resulting in humeral fracture and shoulder dislocation. Closed reduction of the dislocation was performed under anesthesia during surgery. The fixation method employed was dynamic compression plate through open reduction. The fracture and dislocation healed at 3 to 6 months postoperatively. At last follow-up, one patient were allowed to return to work without restrictions, and regained normal mobility. The other patient had sequela of brachial plexus injury. The literature on this subject is reviewed.