Fig. (5) Case No 23 that was referred to our Department 30 days after the initial injury (A). A GTB osteotomy was performed at the time of injury leading to significant heterotopic ossification and stiffness requiring extensive capsular release one year postoperative (B). Two years later the diagnosis of total AVN was confirmed (C) and the patient was treated with shoulder hemiarthroplasty (D) having finally a moderate outcome 5 year after the initial injury (Constant score 75).