Hi everyone,

I’m a 34-year-old male trying to understand the real outcomes of my injury and would really appreciate hearing from anyone who had something similar.

Injury details

I had a motorbike accident at low speed on 14 Feb 2026 where I hit a car and landed on my left shoulder.

CT findings before surgery:

- Comminuted intra-articular fracture of the anatomical neck of the left humeral head
- The humeral head fragment was medially displaced and located anteriorly beneath the glenoid (fracture-dislocation)
- Multiple bone fragments in the joint space
- Small chip fracture of the coracoid process
- Moderate joint effusion
- AC joint intact

Treatment

- 15 Feb 2026: Open Reduction and Internal Fixation (plate + screws) of the proximal humerus
- 18 Feb 2026: Closed reduction and percutaneous pinning of right first metacarpal base fracture

Post-op X-rays were considered acceptable and I was discharged stable.

I’ve attached my pre-op CT reconstruction and post-op X-rays for context.

My concern

My surgeon said it’s too early to determine the risk of AVN (Avascular Necrosis) of the humeral head, and that this usually becomes clear months later.

From what I’ve read, anatomical neck fractures and fracture-dislocations can carry a significant AVN risk, and I’m trying to understand realistic outcomes from people who actually went through this.

Questions

1. Has anyone here had a proximal humerus fracture-dislocation with ORIF?
2. Did you develop AVN, and if so when was it first detected?
3. If you did not develop AVN, how long did it take to regain shoulder function?
4. What was your range of motion and strength like after 6-12 months?
5. Did anyone here eventually need shoulder replacement after this injury?

I know every case is different, but hearing real experiences would help a lot.

Thanks in advance to anyone willing to share.

Proximal Humerus Fracture-Dislocation (Anatomical Neck) + ORIF | Week 4 | — Anyone Develop AVN or Fully Recover?