POST-TRAUMATIC FRACTURE NON-UNION OF PROXIMAL HUMERUS WITH COMPROMISED ROTATOR CUFF TREATED WITH REVERSE SHOULDER ARTHROPLASTY: A CASE REPORT
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2015, Vol 2, Issue 25
Abstract
We here with present a case of post-traumatic fracture non-union of proximal humerus with compromised rotator cuff in a 50 yrs old retired BSF jawan, who presented to our OPD with a chief complaint of pain, decreased ROM of rt.shoulder. He had an h/o previous injury following RTA on 16/2/2012 & was treated with ORIF on 25/2/2012. X-ray shows fracture nonunion of proximal humerus with migration of humeral head relative to glenoid in superior direction, also there is acetabularisation of acromion & femoralisation of proximal humerus. MRI shows compromised rotator cuff. Both x-ray & MRI are suggestive of rotator cuff arthropathy. After, thorough investigations &rulling out any other associated co-morbidities, pre-operative planning was done to maintain gothic arch, modularity (for reestablishing normal gleno-humeral anatomic relationship), Inferior tilting of glenoid component by 15. Implant was removed & reverse shoulder arthroplasty was done. Per-operative & post-operative periods were uneventful. Patient was relieved of the symptoms and is now under follow-up.
Authors and Affiliations
Santosh Kumar Sahu, Anant Kumar Garg, Sanjay Kumar
Keywords
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- EP ID EP229471
- DOI 10.18410/jebmh/2015/541
- Views 67
- Downloads 0
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