• Malposition of the greater or lesser tuberosity ( e.g. >1 cm from native anatomical position)
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A 69-year-old male sustained a proximal humerus fracture that underwent open reduction and internal fixation nine months ago. He complains of constant pain and weakness; repeat radiographs are shown in Figures A and B. What is the most appropriate surgical treatment at this time?
Revision open reduction and internal fixation
Valgus corrective osteotomy of proximal humerus
Humeral head resection
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A 24-year-old female sustains a surgical neck proximal humerus fracture in a motor-vehicle collision. She undergoes open reduction and internal fixation but heals in 45 degrees of varus and has significant limitation of shoulder range of motion despite 9 months of conservative treatments. What is the most appropriate treatment at this time?
Manipulation under anesthesia
Humeral head resurfacing
Revision open reduction internal fixation with osteotomy
Reverse total shoulder arthroplasty
HPI - Proximal humerus fracture 6 months ago, operated on overseas (open reduction, internal fixation) Progressive pain and disability after initial improvement. Complete skin closure, no history of wound complications or infection. Normal WBC, ESR, and CRP.
What additional imaging, if any, would you order?
HPI - Operated 4 months ago of proximal humerus fracture.
What do you think is the most likely cause for lack of active motion?