Has the ProFHER Trial Changed the Orthopaedic Surgeons' Decision Making and Treatment of Proximal Humeral Fractures?

Background: To explore the impact of the ProFHER trial on initial decision making in the management of proximal humerus fractures at a district general hospital (DGH).

Material And Methods: Retrospective review of all proximal humerus fractures at a single DGH during 1 year before ProFHER (2014) and 1 year following publication (2018). Data related to demographics, fracture pattern, and management was collected from electronic patient records and analysed.

A Rare Case of Rotator Cuff Interposition Causing Humeral Head Subluxation Following Anterior Shoulder Dislocation.

This case report aims to highlight that not all shoulder dislocations are simple to treat and that early recognition of complications is key in managing these injuries successfully. We report the case of a 68-year-old gentleman who presented to Accident and Emergency (A&E) following a fall and sustaining an anterior dislocation of his right shoulder. This was reduced under sedation; however, the patient had an ongoing feeling that his shoulder "was not right.

Primary synovial osteochondromatosis of the shoulder: a rare cause of shoulder pain.

Synovial osteochondromatosis is a benign neoplastic condition which manifests as multiple cartilaginous or osteocartilaginous nodules within a joint, bursa and tendon sheath. It typically results in pain and stiffness of the affected joint, and is thought to arise as a result of synovial membrane proliferation and metaplasia. We report the diagnosis and management of a 36-year-old man who presented with a long history of shoulder pain, which had been managed conservatively prior to referral to orthopaedics.