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Proximal humerus deformity, in a four-limb amputee following meningococcal septicaemia
  1. Adeel Ikram,
  2. Kriti Singhania,
  3. Suhayl Tafazal,
  4. Amol Tambe
  1. Department of Trauma and Orthopaedics, Royal Derby Hospital, Derby, UK
  1. Correspondence to Adeel Ikram, adeelikram{at}


We present a challenging case of proximal humerus varus deformity in a four-limb amputee, caused by growth arrest from meningococcal septicaemia. The deformity resulted in a loss of function for our patient with inhibition of activities of daily living, requiring corrective osteotomy to help improve the range of motion of the shoulder. We describe in detail the management of our patient, highlight the importance of the orthopaedic manifestations of meningococcal septicaemia, and demonstrate the importance of monitoring potential deformities from growth arrest in these patients.

  • bone and joint infections
  • orthopaedics
  • paediatrics
  • orthopaedic and trauma surgery

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  • Contributors AI contributed to the write up of the article, main author, conducted literature review, identified learning points. KS contributed to the writing of the article and was involved in patient care during inpatient stay. ST contributed to the writing of the article and senior review of article, researched the osteotomy technique, involved in care of the patient. AT contributed to the writing of the article and senior review of the article, involved in care of the patient and responsible clinician of the patient.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.