The purpose of this study is to evaluate operative outcomes in sequelae of proximal humeral fractures. Case 1: A 73-year-old female had a lt. proximal humeral surgical neck fracture. 7 weeks post trauma, a radiograph showed delayed union and high potential of nonunion. We classified type 3 of Pascal Boileau's classification. 2 months post trauma, osteosynthesis with plate fixation and an iliac bone grafting was performed. Case 2: A 64-year-old male had a rt. proximal humeral surgical neck fracture. 6 weeks post trauma, a radiograph revealed delayed union and high potential of non union. We classified type 3. 7 weeks post trauma, osteosynthesis with plate fixation and an iliac bone grafting was performed. Case 3: A 77-year-old female had severe lt. shoulder pain and restricted range of motion at 26 years post trauma. A radiograph showed humeral head necrosis, malunion of the greater tuberosity and lesser tuberosity. We classified type 1. Total shoulder arthroplasty (TSA) was performed.
Case 1: 15 months post ope, active elevation: 140 degrees, ER: 40 degrees, IR: T12, JOA score 94 points. X-ray showed bone healing. Case 2: 12 months post ope active elevation: 150 degrees, ER: 60 degrees, IR: T12, JOA score 100 points. X-ray revealed bone healing. Case 3: 1.5 years post ope, active elevation: 120 degrees, ER: 40 degrees, IR: T12 and JOA score 91 points.
Patients with type 3 had good bone union with plate fixation and bone grafting, the patient with type 1 obtained pain relief and functional results with TSA.
