Hi All,

Just thought I'd post here to round off this discussion with some good news. A few weeks back I arranged to have a CT scan done while in external rotation and I finally got my report back:

Clinical Notes: Limited external rotation. ? screw impingement from prior surgery.

Findings: The patient was scanned in external rotation. Comparison is made to the prior
study from June 23, 2011. In fact it does appear that the protruding screw limits the
degree of external rotation. The humeral head lies immediately adjacent to the screw.

Conclusion: External rotation does appear limited by the anteriorly positioned screw as the humeral
head abuts the screw when compared to the prior study which was performed in neutral
position.

So, I now have all the justification I need to ask my surgeon to take that screw out as soon as he thinks it's a good idea to go in (bearing in mind it will probably be an open surgery).

Thanks for all your contributions!

Adam