Sprout, shoots, epicormic or adventitious, must be connected to the trunk through xylem so that the can gain water and nutrients.
As I have said repeatedly I am only inferring from your photos and writing so I would again encourage investigation. Is the wood behind the broken socket decayed or solid. Is the donut forming around the old wound solid?
We know there is active decay as the cavity behind the wound indicates. The question becomes how solid are the shell walls and what thickness. Then do you feel they will support stress applied to them without failing? Whether you call the cavity a defect or the wall a response you should investigate.