PMC5587879_01
Preoperative AP shoulder view demonstrating the destroyed joint components as well as the retained ammunition particles. The photograph represents the healed surgical scar of the pedicled latissimus dorsi flap.
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There were no available records for the details regarding the initial injury, nor the abovementioned debridement surgeries; however, pre-operative assessment in Qatar (Dec 2011) revealed almost complete loss of the left shoulder components, namely, the humeral head, acromio-clavicular joint, along with at least the lateral fifth of the clavicle, tendons of the rotator cuff muscles, and the main bulk of the deltoid muscle, as well as retained ammunition particles of variable sizes (Fig. 1). Preoperative assessment: Clinical examination, as shown in the photo (Fig. 1); showed a healed scar indicative of previous soft-tissue reconstruction surgeries, with mild keloid formation.
Postoperative radiograph in AP and axillary views, showing the implant components.
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Postoperative radiographs showed good positioning of the implant components (Fig. 2).