Most of the minimally displaced proximal humerus fractures in people > 65 years age will unite uneventfully ant the outcomes will be good.
However sometimes these fractures are moderately to severely displace and may be accompanied with a head dislocation.
The bone of contention is the highly comminuted and displaced fractures, which pose a significant challenge for the treating physician.....
What are the available options for someone who had a fracture of proximal shoulder, which hasn’t united? One, he has a painful shoulder and 2nd he has limited motion.
Mostly this will be found in old individuals with a poor bone stock, which was a contributory factor to non-union in the first place.
A traditional approach which fails very often would be to attempt refixation with bone grafting. However this may not result in union of the fracture besides giving him a very stiff shoulder.....
The biggest series of patients from Zurich published in the top ranked journal of orthopaedics (JBJS) proves beyond doubt that Latarjet is clearly the surgery of choice and much more superior to Arthroscopic bankart repair for treatment of anterior recurrent dislocation of shoulder...... Read More
Being the most mobile joint in the body, the shoulder has more degree of freedom than any other joint of the body. But, this advantage also proves to be a disadvantage that makes the shoulder an easy joint to dislocate. The most common type of dislocation is the anterior shoulder dislocation. It usually results from forced abduction (shift away from position), external rotation and extension in the shoulder..... Read More
The debate for the best shoulder pain treatment and recurrent dislocated shoulder treatment rests largely between the two procedures in the headline. Bankart repair consists of soft tissue capsulo-labral repair and Latarjet involves osteotomizing (cutting) the vertical half of the coracoid bone and fixing it on anterior glenoid surface. Since I have worked both in France and US, I‘ve had the good fortune of witnessing the debate on both sides very closely. ....... Read More