Proximal Humerus Fractures: A Case Report of Multiple Complications with Kocuria rosea Infection
Daniel. Bernardino1*, Jorge T. Ramos1,2, Pedro Quinaz Neto1, Pedro Campos1, Luís Maia1, Raquel Dutra1, Sofia Mendes1, Martim Pinto1, Diogo Silva Gomes3, Acácio Ramos1
1ULS Estua rio do Tejo, Portugal.
2Hospital CUF Tejo, Portugal.
3Hospital CUF Descobertas, Portugal.
*Corresponding Author: Daniel. Bernardino, ULS Estua rio do Tejo, Portugal.
https://doi.org/10.58624/SVOAOR.2025.05.016
Received: July 20, 2025
Published: August 11, 2025
Citation: Bernardino D, Ramos JT, Neto PQ, Campos P, Maia L, Dutra R, Mendes S, Pinto M, Gomes DS, Ramos A. Proximal Humerus Fractures: A Case Report of Multiple Complications with Kocuria rosea Infection. SVOA Orthopaedics 2025, 5:4, 90-93. doi: 10.58624/SVOAOR.2025.05.016
Abstract
Proximal humerus fractures (PHF) represent approximately 10% of all fractures, with a higher incidence in women. Management strategies vary based on patient factors and fracture patterns, with recent literature supporting surgical intervention, including osteosynthesis or arthroplasty, for complex 3- and 4-part fractures. This case report describes a complex case of a patient with a Neer type II PHF who developed chronic Kocuria rosea infection following reverse shoulder arthroplasty (RSA) after initial osteosynthesis failure. The case highlights the diagnostic and therapeutic challenges in managing such complications, including a rare pathogen and multiple revision surgeries, and underscores the importance of individualized treatment strategies.
Keywords: Proximal humerus fracture, Reverse shoulder arthroplasty, Kocuria rosea infection