Fig. 2.

a) A proposed algorithm for proximal humeral reconstruction based on key parameters; b) a tumour for which the deltoid and axillary nerve require resection. Author’s preferences are in magenta; c) a tumour for which the axillary nerve might be resectable (after review of other images), but the deep aspect of deltoid (together with the subepimysial course of the motor branches) would best be resected; d) scapulohumeral fusion with allograft (and intramedullary cement); e) scapulohumeral fusion with vascular fibular autograft; f) a proximal humeral endoprosthesis; g) vascular fibular epiphyseal-diaphyseal autograft articulating with the glenoid; h) clavicula pro-humero reconstruction.