| Popis: |
The Bristow procedure, originally described in 19581, was aimed at treating recurrent anterior dislocations of the shoulder. Since then, several modifications have been described, including the Latarjet procedure2. The Bristow-Latarjet procedure has been widely successful and is still used3, although many centers have preferred to adopt the Bankart procedure. Several late complications have been reported with the Bristow-Latarjet procedure, including glenohumeral arthritis, subluxation/dislocation, shoulder contracture, and problems with implants4. The latter are often related to screw migration, which can cause pain, neurological symptoms, and vascular complications5-7. The use of arthroscopic soft-tissue stabilization in the shoulder has gained popularity and is now being combined with arthroscopic Latarjet procedures in some centers, with early reports of promising results8. To the best of our knowledge, only three cases of late neurological complications caused by screw migration after a Bristow procedure have been reported in the literature; the last one appeared in 19887. All three cases describe neurological injury to the brachial plexus caused by the migrating screw; all were generally treated successfully with screw removal. We present a patient with an unusual neurological complication that occurred twenty years after a modified Bristow-Latarjet procedure. The patient was informed that data concerning the case would be submitted for … |
