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Journals / Gülhane Tıp Dergisi / 2002 / Cilt: 44 - Sayı: 4

Anterior shoulder dislocation with brachial plexus injury (Case report and review of the literature)

Anterior omuz çıkığı sonucu oluşan brakial pleksus lezyonu (Vaka takdimi ve literatür taraması)

Mahmut KÖMÜRCÜ
Ümit Hıdır ULAŞ
Taner ÖZDEMİR
Kenan KOCA
Ali Sabri ATEŞALP
Pages
453–456
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

We also emphasized that modulation of the rehabilitation program only possible with early detection of the nerve lesions.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:The incidence of nerve injury in relevant anterior dis-location of the shoulder is approximately 45%.
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Key Findings & Data:Mixt brachial plexus injuries are frequent than isolated nerve injuries.
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Conclusion & Impact:We also emphasized that modulation of the rehabilitation program only possible with early detection of the nerve lesions.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Tedavi sonucu · Erkek · Brakial pleksus

Abstract

The incidence of nerve injury in relevant anterior dis-location of the shoulder is approximately 45%. Mixt brachial plexus injuries are frequent than isolated nerve injuries. Generally axillary, suprascapular, musculocutaneous and radial nerves involve to combined lesions although most common isolated nerve injury is axillary nerve. Reason of the nerve injury is usually a fracture, haematoma, and edema in anterior shoulder dislocation. Some part of brachial plexus injuries occur the reason of reduction of the shoulder. Our case did not reveal any pathologic consideration such as haematoma and edema with radiological examination of the shoulder (X-ray, CT, MRI) and also brachial plexus MRI. We thought that, it occurred with traction injury during dislocation. Meticulous clinical examination and extensive electrophysiological assessment require for exact diagnosis. Brachial plexus EMG is essential for evaluation and follow-up of the patient who suffered from nerve injury which associated with shoulder fracture or dislocation. In this article, we analyzed diagnostic modalities and pitfalls, mechanisms of injury and various treatment methods in anterior shoulder dislocation with nerve injury. We also emphasized that modulation of the rehabilitation program only possible with early detection of the nerve lesions.

Özet

Anterior omuz çıkıklarında sinir lezyonu yaklaşık %45 oranında görülmektedir. Bunların çoğu miks brakial pleksus yaralanmaları şeklindedir. Daha çok aksiler sinir ve radial sinirin köken aldığı posterior kord etkilenmektedir. Sinir lezyonları bir mekanik basıya veya traksiyon injurisine bağlı oluşmaktadır. Anterior omuz çıkıklarında sinir lezyonu tanısını koymak ve oluşum mekanizmasını tespit etmek herzaman kolay değildir. Sinir lezyonuna kırık yada hematomun eşlik etmesi, hastanın yaşı prognozu ve tedavi şeklini etkilemektedir. Biz bu makalede GATA Ortopedi ve Travmatoloji A.D'a başvuran bir olgu nedeniyle anterior omuz çıkığı ile biriikte görülen brakial pleksus lezyonlarının tanısını, oluşum mekanizmasını ve tedavi seçeneklerini inceledik.

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Cite This Article

KÖMÜRCÜ, M., ULAŞ, Ü. H., ÖZDEMİR, T., KOCA, K., ATEŞALP, A. S. (2002). Anterior shoulder dislocation with brachial plexus injury (Case report and review of the literature). Gülhane Tıp Dergisi, Cilt: 44 - Sayı: 4, 453–456. https://ajindex.com/articles/225857

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