Santosh Kumar Sahu1, Anant Kumar Garg2, Sanjay Kumar3
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 non-union 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.