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Inferior subluxation of humeral head after plate surgery for proximal humerus fracture isn't always benign.

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February 2025

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Background: Inferior subluxation of humeral head following shoulder trauma, osteosynthesis or rotator cuff repair has been considered as a benign or temporary phenomenon due to muscle fatigue or capsular injury. However, the clinical impact is still unclear as to their occurrence after plating for proximal humerus fractures. This study aims to investigate their patterns and identify associated risk factors as well as clinical outcomes.

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A young man in his late adolescence presented with a gradually progressive diminution of vision in both eyes for 3 years. A general physical examination revealed features suggestive of Marfan syndrome, with a positive family history. Ocular examination revealed a superonasal lens subluxation with a myopic fundus in both eyes.

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Background And Objective: Neurofibromatosis-1 (NF1) dystrophic scoliosis is a challenging disease to manage surgically, with multiplanar curves progressing rapidly and unpredictably. Conservative management with bracing is often unsuccessful, and many patients necessitate instrumented fusion to halt progression of their curves. In rare cases, patients can present with spontaneous vertebral subluxation, significantly complicating the surgical management of this already complex disease process.

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