ArticleInternational journal of surgery case reports2026
Supraspinatus tendon adhesions with shoulder stiffness after humerus anterograde nailing: a case report.
Article in International journal of surgery case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Humeral shaft fractures are common fractures and account for 3% of all long-bone fractures. Antegrade intramedullary nailing is an effective technique for treating these fractures. It provides good clinical outcomes and bone consolidation in over 90% of cases, but it carries risks of shoulder pain and stiffness. Case presentation: A 54-year-old right-handed manual laborer underwent antegrade intramedullary nailing for a transverse midshaft fracture of the left humerus. Postoperative X-rays showed excessive nail penetration of 1.5 cm into the humerus. Postoperatively, the patient developed significant shoulder pain and stiffness about passive anterior elevation. A supraspinatus tendon adhesion at the nail insertion site was diagnosed. Arthroscopic surgery was performed to release the adhesion, resulting in a marked improvement in shoulder mobility. At 24 months post-surgery, the patient's shoulder function was significantly restored, with a Shoulder Subjective Value of 90% and a Constant score of 75. Discussion: The intra-articular nail entry point through the rotator cuff, the excessive sinking of the nail, and the postoperative immobilization caused the adhesion of the supraspinatus tendon onto the humeral head. Conclusion: This case underscores the efficacy of arthroscopic intervention in treating shoulder stiffness due to supraspinatus adhesion following antegrade nailing.
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