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Fracture-dislocation of the shoulder and brachial plexus palsy: a terrible association.

Chillemi C, Marinelli M, Galizia P - J Orthop Traumatol (2008)

Bottom Line: Primary post-traumatic anterior dislocation of the shoulder with associated fracture of the greater tuberosity and brachial plexus injury is rare and, to our knowledge, has never previously been reported in the literature.We present a case of this unhappy triad in which a brachial plexus injury was diagnosed and treated 3 weeks later.The characteristics of this rare condition are discussed on the basis of our case and the published literature in order to improve early diagnosis and treatment of this lesion.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedics, Istituto Chirurgico Ortopedico Traumatologico, Latin, Italy. c_chillemi@libero.it

ABSTRACT
Primary post-traumatic anterior dislocation of the shoulder with associated fracture of the greater tuberosity and brachial plexus injury is rare and, to our knowledge, has never previously been reported in the literature. We present a case of this unhappy triad in which a brachial plexus injury was diagnosed and treated 3 weeks later. The characteristics of this rare condition are discussed on the basis of our case and the published literature in order to improve early diagnosis and treatment of this lesion.

No MeSH data available.


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The diagnostic algorithm in the case of anterior post-traumatic dislocation of the shoulder and its possible complications
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Fig3: The diagnostic algorithm in the case of anterior post-traumatic dislocation of the shoulder and its possible complications

Mentions: Therefore, EMG allows us to verify the innervation of the supraspinatus and infraspinatus muscles that is normal in retroclavicular or infraclavicular brachial plexus injury. In the case of total brachial plexus palsy (associated with anterior shoulder dislocation and fracture or rotator cuff tear) confirmed by EMG, MRI or computed tomography scan must be performed to diagnose root avulsions (Fig. 3). However, to our knowledge, no case of all of these lesions occurring simultaneously has ever been described in the literature. In the case of complete infraclavicular brachial plexus palsy, a program of hand, wrist, and elbow mobilization has to be started.Fig. 3


Fracture-dislocation of the shoulder and brachial plexus palsy: a terrible association.

Chillemi C, Marinelli M, Galizia P - J Orthop Traumatol (2008)

The diagnostic algorithm in the case of anterior post-traumatic dislocation of the shoulder and its possible complications
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2657336&req=5

Fig3: The diagnostic algorithm in the case of anterior post-traumatic dislocation of the shoulder and its possible complications
Mentions: Therefore, EMG allows us to verify the innervation of the supraspinatus and infraspinatus muscles that is normal in retroclavicular or infraclavicular brachial plexus injury. In the case of total brachial plexus palsy (associated with anterior shoulder dislocation and fracture or rotator cuff tear) confirmed by EMG, MRI or computed tomography scan must be performed to diagnose root avulsions (Fig. 3). However, to our knowledge, no case of all of these lesions occurring simultaneously has ever been described in the literature. In the case of complete infraclavicular brachial plexus palsy, a program of hand, wrist, and elbow mobilization has to be started.Fig. 3

Bottom Line: Primary post-traumatic anterior dislocation of the shoulder with associated fracture of the greater tuberosity and brachial plexus injury is rare and, to our knowledge, has never previously been reported in the literature.We present a case of this unhappy triad in which a brachial plexus injury was diagnosed and treated 3 weeks later.The characteristics of this rare condition are discussed on the basis of our case and the published literature in order to improve early diagnosis and treatment of this lesion.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedics, Istituto Chirurgico Ortopedico Traumatologico, Latin, Italy. c_chillemi@libero.it

ABSTRACT
Primary post-traumatic anterior dislocation of the shoulder with associated fracture of the greater tuberosity and brachial plexus injury is rare and, to our knowledge, has never previously been reported in the literature. We present a case of this unhappy triad in which a brachial plexus injury was diagnosed and treated 3 weeks later. The characteristics of this rare condition are discussed on the basis of our case and the published literature in order to improve early diagnosis and treatment of this lesion.

No MeSH data available.


Related in: MedlinePlus