Chronic Pain after Proximal Humerus ORIF

By Tianlong Huang

47 male, dominant shoulder. He suffered a proximal humeral fracture 17 years ago and treated by open reduction and internal fixation. He never got a full of ROM after surgery but little pain. He suffered agressive pain from last year and affect his daily life so he try to relieve his pain and hope get more ROM

The x-ray is his recent X ray and the pictures are his active ROM, the positive ROM is almost the same.

The rotator cuff is hard to evaluate and the deltoid and brachial plexus are normal.

Which treatment do you prefer. How much ROM we can prospect? What's special you suggest in the surgery and rehabilitation?

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