Shoulder Reconstruction
A 45-year-old woman presents 1 year after non-operative treatment of a 3-part proximal humerus fracture. She has persistent shoulder pain, weakness, and significant loss of motion. Examination shows reduced forward flexion to 90 degrees and external rotation to 10 degrees. X-rays show greater tuberosity malunion with superior displacement of 1.5cm and posterior displacement of 2cm. Rotator cuff imaging is satisfactory. Regarding proximal humerus malunion:
Mark each as TRUE or FALSE
Proximal humerus malunion occurs after inadequate reduction or failed fixation; types include greate...
Clinical presentation depends on malunion type: greater tuberosity superior malunion causes subacrom...
Lesser tuberosity malunion is the most common type; greater tuberosity displacement of any amount ca...
Surgical options depend on the malunion type, patient age, rotator cuff status, and bone quality: tu...
Corrective osteotomy of the greater tuberosity involves osteotomizing the malunited fragment, mobili...
Answer the questions to see explanations
Click T (True) or F (False) for each option