ABSTRACT
Loss of the proximal humerus following trauma or tumor ablation results in tremendous
functional impairment because of the inability to position the hand in space. Although
scapulohumeral athrodesis is described in the literature, insufficient follow-up has
prevented full appreciation of functional outcome and patient satisfaction. This report
describes favorable restoration of upper extremity function in two patients who sustained
traumatic injuries to the proximal humerus following scapulohumeral arthrodesis. In
both cases, vascularized fibula transplantation and allograft bone were used, and
pedicled latissimus muscle transfers were required for soft-tissue closure.
