Isolated Radial Nerve Palsy as a Complication After Anterior Dislocation of the Glenohumeral Joint: A Case Report and Clinical Review
| Autor: | Spyrantis M, Pantouvaki A, Petros Kapsetakis, Velivasakis G, Kastanis G |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Epidemiology medicine.medical_treatment 0211 other engineering and technologies Case Report 02 engineering and technology Wrist Rotator Cuff Injuries 03 medical and health sciences 0302 clinical medicine Forearm lcsh:Pathology medicine Humans Rotator cuff Safety Risk Reliability and Quality Physical Therapy Modalities Radial nerve Reduction (orthopedic surgery) terrible triad of the shoulder lcsh:R5-920 021110 strategic defence & security studies Palsy business.industry Shoulder Dislocation anterior shoulder dislocation Middle Aged Nerve injury medicine.disease Magnetic Resonance Imaging Surgery medicine.anatomical_structure radial palsy Accidental Falls Radial Neuropathy medicine.symptom lcsh:Medicine (General) business Safety Research 030217 neurology & neurosurgery lcsh:RB1-214 Wrist drop |
| Zdroj: | Journal of Investigative Medicine High Impact Case Reports, Vol 7 (2019) Journal of Investigative Medicine High Impact Case Reports |
| ISSN: | 2324-7096 |
| DOI: | 10.1177/2324709619844289 |
| Popis: | Shoulder dislocation is the most common feature in emergencies, while the anterior dislocation of the glenohumeral joint is the most frequent and requires reduction. Accompanied nerve injury is common with an incidence of 21%, while radial nerve palsy is very rare. We describe the case of a 56-year-old man who presented with an anterior dislocation of the left shoulder due to a fall on an outstretched hand with wrist drop 8 hours after injury. Neurological examination revealed loss of sensation along the radial border of the forearm. Closed reduction with Kocher procedure was performed. Magnetic resonance image demonstrated a rotator cuff tear, and 3 weeks after the injury electromyography showed complete radial nerve palsy. A physiotherapy program was applied to the wrist and fingers with the goal of maintaining a full passive range of motion in all joints affected while shoulder rehabilitation started 6 weeks after his fall. Isolated radial nerve palsy associated with an anterior dislocation of the shoulder is very rare but not impossible to occur. Correct diagnosis of the nerve injury associated with the anterior dislocation is very important because it has serious implications on the management and activity morbidity. |
| Databáze: | OpenAIRE |
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