4.5 of 6 Ratings
A 69-year-old patient presents with the injury shown in Figures A and B. A deltopectoral approach is used for open reduction and internal fixation of the fracture. Which of the following is the most likely complication that might occur when cable fixation is placed 4 cm inferior to the insertion of the latissimus dorsi?
Iatrogenic median nerve injury
Axillary nerve neurapraxia
Subscapularis tendon injury
Iatrogenic radial nerve injury
Incarceration of the brachial artery
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A 60-year-old patient fell down a flight of stairs and injured their right arm. Since the fall they are unable to move their extremity due to pain. Prior to the fall, the patient denied any pain in the shoulder or upper arm. Currently, the patient is neurovascularly intact. Figures A and B are the radiographs at the time of presentation. What is the best treatment option for this patient?
Revision rTSA with cemented long-stem prosthesis
Revision rTSA with cementless long-stem prosthesis
ORIF with hybrid locking plate and cerclage cables
ORIF with lag screw fixation and neutralization plating