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(a) The radiograph depicts a 56-year-old male who presented with a pathological fracture while serving during a game of tennis. Biopsy revealed a metastatic cancer. Positron emission tomography-computerised tomography (PET-CT) showed this to be solitary metastases from renal cell carcinoma (b) Resection and reconstruction with a reverse shoulder type of implant (Stanmore Implants Worldwide, UK) preserving the deltoid muscle and axillary nerve allows better abduction and flexion
