Case Report
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World J Orthop. Oct 18, 2022; 13(10): 940-948
Published online Oct 18, 2022. doi: 10.5312/wjo.v13.i10.940
Derotational osteotomy and internal fixation of a 180° malrotated humerus: A case report
Katharina Elisabeth Wenning, Thomas Armin Schildhauer, Clifford Barry Jones, Martin Franz Hoffmann
Katharina Elisabeth Wenning, Thomas Armin Schildhauer, Martin Franz Hoffmann, Department of General and Trauma Surgery, BG University Hospital Bergmannsheil Bochum, Bochum 44789, Germany
Clifford Barry Jones, Department of Orthopaedic Surgery, Creighton Medical School Phoenix, Phoenix, 85012, United States
Author contributions: Wenning KE helped with data collection, interpretation and writing the case report; Hoffmann MF contributed to study concept/design and data analysis; Jones CB, Schildhauer TA and Hoffmann MF helped with interpretation and contributed to the review of the final manuscript and final submission of the paper.
Informed consent statement: Written informed consent was obtained from the patient for publication of this case report and accompanying images.
Conflict-of-interest statement: All authors report no relevant conflict of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Katharina Elisabeth Wenning, MD, Doctor, Surgeon, Department of General and Trauma Surgery, BG University Hospital Bergmannsheil Bochum, Buerkle de la Camp-Platz 1, Bochum 44789, Germany. katharina.wenning@bergmannsheil.de
Received: October 4, 2021
Peer-review started: October 4, 2021
First decision: January 11, 2022
Revised: March 28, 2022
Accepted: October 11, 2022
Article in press: October 11, 2022
Published online: October 18, 2022
Processing time: 377 Days and 12.9 Hours
Core Tip

Core Tip: We present a case of extreme rotational deformity of the humerus (180°) after humeral shaft fracture. The patient complained about pain and difficulties with activities of daily living. A neurolysis of the radial nerve followed by derotational osteotomy of the humerus and internal fixation were performed. Postoperatively, the patient demonstrated transient iatrogenic radial nerve palsy which had complete recovery at 2 years postoperatively. The Disabilities of the Arm, Shoulder, and Hand score improved from a preoperative 55 to a final 16 at the final 2-year follow-up.