[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-447530-105":59,"doc-detail-447530-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","a-twist-in-the-shoulder-tale-proximal-humerus-fracture-following-trapezius-transfer-a-case-report","A Twist in the Shoulder Tale - Proximal Humerus Fracture Following Trapezius Transfer - A Case Report","","Proximal humerus fractures account for about 4–6% of fractures and usually affect older patients with osteoporotic bone after low-energy trauma, while younger patients more often experience high-energy mechanisms. This article reports a rare case of peri-implant surgical neck fracture occurring after trapezius transfer performed for brachial plexus injury. A 30-year-old man developed a fracture during aggressive post-operative physiotherapy, underwent open reduction and internal fixation, and followed a structured graded rehabilitation plan, achieving 90° shoulder abduction at one year.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/a-twist-in-the-shoulder-tale-proximal-humerus-fracture-following-trapezius-transfer-a-case-report/447530/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/a-twist-in-the-shoulder-tale-proximal-humerus-fracture-following-trapezius-transfer-a-case-report/447530.png","ImageObject",300,407,{"name":92,"@type":93},"ahduag","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-02","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",13,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What makes this shoulder fracture scenario clinically rare?","Question",{"text":113,"@type":114},"A proximal humerus fracture occurring in a previously operated case of trapezius transfer for brachial plexus injury is described as extremely rare, with limited management and rehabilitation literature available.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"How did the patient sustain the proximal humerus fracture?",{"text":118,"@type":114},"The patient developed acute pain and swelling in the upper right arm during aggressive physiotherapy, about two months into post-operative rehabilitation.",{"name":120,"@type":111,"acceptedAnswer":121},"What treatment and rehabilitation approach led to functional recovery?",{"text":122,"@type":114},"Open reduction and internal fixation with a dynamic compression plate were performed, and a structured post-operative rehabilitation protocol with cautious, supervised, graded physiotherapy resulted in functional recovery with 90° shoulder abduction at one-year follow-up.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},447530,1790766541,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":24,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":105,"preview_page_count":4},3985747870414,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","Case Report  Journal of Orthopaedic Case Reports 2025 December:15( 12) :Page 73-77   \nA Twist in the Shoulder Tale: Proximal Humerus Fracture Following  \nTrapezius Transfer –ACase Report  \nKumar Parth1, Rajendra Phunde1, Surendar Singh Bava1, Maulik Kothari1, Hunaid Haider1,  \nRohit Somani1  \nLearning Point of the Article:  \nStructured, gradual rehabilitation post-trapezius transfer prevents peri-implant fractures and ensures optimal functional recovery.  \nAbstract  \nIntroduction: Proximal humerus fractures constitute approximately 4–6% of all fractures, commonly affecting the elderly due to low-energy trauma and osteoporotic bones. Two-part surgical neck fractures are the most frequent subtype. In younger individuals, high-energy trauma is a usual cause. However, a proximal humerus fracture in a patient with a history of trapezius muscle transfer for brachial plexus injury is an extremely rare clinical scenario, with limited literature available on its management and rehabilitation.  \nCase Report: A 30-year-old right-hand-dominant male presented with acute pain and swelling in the right upper arm following anon-traumatic event during aggressive physiotherapy. Hehad a history of brachial plexus injury managed by double Oberlin nerve transfer and later a trapezius transfer due to poor shoulder function. Two months into post-operative rehabilitation, he sustained a surgical neck humeral fracture. Open reduction and internal fixationwith a dynamic compressionplate and subpectoral biceps tenodesis wereperformed. A structured post-operative rehabilitation protocol resulted ina functionalrecovery with 90° of shoulder abduction at 1-yearfollow-up.  \nConclusion: Peri-implant fractures following trapezius transfer are rare and demand careful surgical and rehabilitation planning. This case highlights theimportance ofcautious, supervised, and gradedphysiotherapy to prevent such complications and optimize outcomes.  \nKeywords: Trapezius transfer, proximal humerusfracture, brachial plexus injury.  \nIntroduction  \nProximal humerus fractures are common and account for approximately 4–6% of all fractures [1, 2]. These fractures most frequently occur in older individuals with osteoporotic bones [3]. Among them, two-part surgical neck fractures are the most prevalent subtype. In elderly patients, these injuries typically result fromlow-energy falls,whereas in younger individuals, they are usually caused by high-energy trauma and often involve associated soft tissue and neurovascular injuries [4, 5].  \nA proximal humerus fracture occurring in a previously operated case of trapezius transfer for brachial plexus injury is a rare event, with limited literature available on its management and rehabilitation protocol.  \nCase Report  \nA 30-year-old right-hand-dominant male electrician presented to the outpatient department with complaints of acute pain and swelling in the upper part of his right arm. The onsetwas sudden,  \n\n| \u003Cbr>Access this article online\u003Cbr>\u003Cbr>Website: [www.jocr.co.in](www.jocr.co.in)\u003Cbr>\u003Cbr>DOI:\u003Cbr>[https://doi.org/10.13107/jocr.2025.v15.i12.6458](https://doi.org/10.13107/jocr.2025.v15.i12.6458) | Author’s Photo Gallery |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- |\n|  | | | \u003Cbr>Dr. Surendar Singh Bava | | | |\n|  | \u003Cbr>1Department of Orthopaedics, Seth GS and KEM Hospital, Mumbai, Maharashtra, India.\u003Cbr>Address of Correspondence:\u003Cbr>Dr. Kumar Parth,\u003Cbr>Department of Orthopaedics, Seth GS and KEM Hospital, Mumbai, Maharashtra, India. [E-mail:](E-mail: k23parth@gmail.com)[ k23parth@gmail.com](E-mail: k23parth@gmail.com) |  |  |  |  |  |\n| Submitted: 20/09/2025; Review: 03/10/2025; Accepted: November 2025; Published: December 2025 |  |  |  |  |  |  |\n| DOI: [https://doi.org/10.13107/jocr.2025.v15.i12.6458](https://doi.org/10.13107/jocr.2025.v15.i12.6458)\u003Cbr>© The Author(s). 2025 Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License ([https://creativecommon","cbCaiv7TfAwXbfDv","https://ap.wps.com/l/cbCaiv7TfAwXbfDv","pdf",8805549,"English","# Introduction\n# Case Report\n# Conclusion","[{\"question\":\"What makes this shoulder fracture scenario clinically rare?\",\"answer\":\"A proximal humerus fracture occurring in a previously operated case of trapezius transfer for brachial plexus injury is described as extremely rare, with limited management and rehabilitation literature available.\"},{\"question\":\"How did the patient sustain the proximal humerus fracture?\",\"answer\":\"The patient developed acute pain and swelling in the upper right arm during aggressive physiotherapy, about two months into post-operative rehabilitation.\"},{\"question\":\"What treatment and rehabilitation approach led to functional recovery?\",\"answer\":\"Open reduction and internal fixation with a dynamic compression plate were performed, and a structured post-operative rehabilitation protocol with cautious, supervised, graded physiotherapy resulted in functional recovery with 90° shoulder abduction at one-year follow-up.\"}]","A Twist in the Shoulder Tale - Proximal Humerus Fracture Following Trapezius Transfer - A Case Report | PDF",1790721203]