دورية أكاديمية
Diagnosis and treatment approach of delayed presentation of anterior branch axillary nerve injury following shoulder dislocation: case report.
العنوان: | Diagnosis and treatment approach of delayed presentation of anterior branch axillary nerve injury following shoulder dislocation: case report. |
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المؤلفون: | Chinraj AK; Department of Orthopaedic Surgery, Aster MIMS, Kozhikode, Kerala, 673016, India., Sait A; Department of Orthopaedic Surgery, Aster MIMS, Kozhikode, Kerala, 673016, India., Raju A; Department of Orthopaedic Surgery, Apollo Adlux Hospital, Angamaly, Ernakulam, Kerala, 683576, India., Meleppuram JJ; Department of Orthopaedic Surgery, Apollo Adlux Hospital, Angamaly, Ernakulam, Kerala, 683576, India., Thankappan A; Department of Orthopaedic Surgery, Apollo Adlux Hospital, Angamaly, Ernakulam, Kerala, 683576, India., Nair AV; Department of Orthopedic Surgery, Manipal Whitefield Hospital, Bangalore, Karnataka, 560066, India., Khan PS; Department of Orthopaedic Surgery, Apollo Adlux Hospital, Angamaly, Ernakulam, Kerala, 683576, India. Electronic address: drpskhan@gmail.com. |
المصدر: | Journal of ISAKOS : joint disorders & orthopaedic sports medicine [J ISAKOS] 2024 Aug; Vol. 9 (4), pp. 723-727. Date of Electronic Publication: 2024 May 11. |
نوع المنشور: | Case Reports; Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Elsevier Country of Publication: England NLM ID: 101680867 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2059-7762 (Electronic) Linking ISSN: 20597754 NLM ISO Abbreviation: J ISAKOS Subsets: MEDLINE |
أسماء مطبوعة: | Publication: 2022- : [London] : Elsevier Original Publication: [London] : BMJ, [2016]- |
مواضيع طبية MeSH: | Shoulder Dislocation*/surgery , Shoulder Dislocation*/diagnosis, Humans ; Middle Aged ; Male ; Deltoid Muscle/innervation ; Nerve Transfer/methods ; Treatment Outcome ; Brachial Plexus/injuries ; Brachial Plexus/surgery ; Peripheral Nerve Injuries/diagnosis ; Peripheral Nerve Injuries/etiology ; Peripheral Nerve Injuries/surgery ; Peripheral Nerve Injuries/therapy ; Axilla/innervation ; Superficial Back Muscles/innervation ; Superficial Back Muscles/transplantation ; Nerve Block/methods |
مستخلص: | In this case report, a unique instance of delayed isolated anterior branch axillary nerve injury following shoulder dislocation is highlighted. The patient, a 55-year-old manual laborer, presented with severe deltoid wasting and reduced power 18 months postdislocation, necessitating a specialized treatment approach. The use of axillary nerve neurolysis and an innovative upper trapezius to anterior deltoid transfer via a subacromial path posterior to the clavicle, facilitated by an autologous semitendinosus graft, resulted in significant improvement with 160 degrees of abduction and Grade 4+ power Medical Research Council grading (MRC) at the 5-year follow-up. Competing Interests: Declaration of competing interest The authors declare that no financial interests/personal relationships exist to be considered as potential competing interests. (Copyright © 2024 The Author(s). Published by Elsevier Inc. All rights reserved.) |
فهرسة مساهمة: | Keywords: Axillary nerve injury; Brachial plexus injury; Case report; Deltoid palsy; Trapezius transfer |
تواريخ الأحداث: | Date Created: 20240513 Date Completed: 20240810 Latest Revision: 20240810 |
رمز التحديث: | 20240812 |
DOI: | 10.1016/j.jisako.2024.05.006 |
PMID: | 38740266 |
قاعدة البيانات: | MEDLINE |
تدمد: | 2059-7762 |
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DOI: | 10.1016/j.jisako.2024.05.006 |