Fracture Dislocation of Shoulder with Brachial Plexus Palsy: A Case Report and Review of Management Options
نویسندگان
چکیده
INTRODUCTION Injuries causing fracture dislocation of shoulder and brachial plexus palsy are extremely rare. As per authors' knowledge, three part fracture of proximal humerus with shoulder dislocation and brachial plexus palsy has not been reported in the literature. CASE PRESENTATION A 53 year old female sustained a three part fracture of right proximal humerus along with dislocation of shoulder joint and brachial plexus palsy following a fall from a flight of stairs. Fracture was managed by plating of proximal humerus and brachial palsy was followed up with electrodiagnostic studies and regular physiotherapy. Fracture united by three months and patient had near complete recovery of brachial palsy. Authors have discussed diagnostic modalities and management options in the article. CONCLUSION Clinician should always look for clinical evidence of brachial plexus injury in patients with anterior shoulder dislocation. Signs of nerve injury with shoulder fracture dislocation are easily overlooked or incorrectly attributed to pain due to bony injury. Subsequent loss of shoulder function in elderly is often thought to be due to immobilization and stiffness. Clinical suspicion can help in diagnosing the often missed neurological injuries and can help in improving outcomes.
منابع مشابه
Anterior dislocation of shoulder with brachial plexus injury.
Brachial plexus injury secondary to anterior dislocation of the shoulder is unusual injury. This is a case report of brachial plexus palsy following traumatic anterior dislocation of shoulder. Recovery took 6 months and patient was left with residual shoulder stiffness. A brief review of presentation and management of this condition is also presented.
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