Concluded Case

Pseudoarthrosis of shoulder

2 years old non union of proximal humerous with established pseudo arthrosis. kindly comment on best possible management?

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Concluded answer
Reverse shoulder arthroplasty as its neglected non unioun with pseudoarthrosis with rotator cuff periarthrites so reverse shoulder arthroplasty is ideal
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Not just bone but take care of surrounding soft tissue too.best is conservative physiotherapy for muscle strengthening and range of motion, cheak for osteoporosis , may be reagional or manage. Rule out crps too. Cortex thinned out ( less than 4 mm ) worried that prosthesis may cause fracture again'.
Established non union with pseudoathrosis Left like that only as patient was also not willing for arthroplasty Thank you everyone for suggestions
If pt.is functioning well than leave it as such otherwise arthroplasty
Surgery with physiotherapy
Reverse shoulder arthroplasty as its neglected non unioun with pseudoarthrosis with rotator cuff periarthrites so reverse shoulder arthroplasty is ideal
I think there wont be any functional improvement of the joint with any surgery.(even with prosthesis-neers) so better leave it. Thanku.
Go ahead with hemi arthroplasty as the age is 60
Pseudoarthrosis right proximal humerus.
expectations of pt.from surgery
Age of the Patient??
60 y
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