Fig. 2

A Preoperative investigations, including a shoulder X-ray of the Rt (right) shoulder and MRI with contrast. Note the osteolytic superimposition on the periosteal reaction at the right proximal humerus radiograph. MRI highlighted an abnormal signal intensity on coronal and axial views from a T2-weighted gadolinum contrast study. B Resected specimen. C Postoperative radiograph in which a PMMA spacer was used. D At 7 years of follow-up (in 2014), the patient presented construct failure, as the spacer was exposed, so spacer removal and NVFG (non-vascularized fibular graft) were performed