Use of a Reverse Shoulder Arthroplasty Following a Fracture-Dislocation with a Brachial Plexus Palsy: A Case Report

Overview

Journal JBJS Case Connect

Publisher Wolters Kluwer

Specialty Orthopedics

Date 2018 Jun 15

PMID 29901477

Citations 1

Authors

Jennifer Kurowicki

Jacob J Triplet

Derek D Berglund

Thomas Zink

Samuel Rosas

Jonathan C Levy

Affiliations

Soon will be listed here.

Abstract

Case: An 80-year-old woman sustained a fracture-dislocation of the proximal aspect of the humerus with a near-complete brachial plexopathy, which was successfully managed acutely using a reverse shoulder arthroplasty (RSA) with repair of the greater and lesser tuberosities. The palsy, which was confirmed with nerve conduction studies, recovered uneventfully along with functional improvement of the shoulder. At the most recent follow-up, there was complete resolution of the plexopathy, with excellent, pain-free range of motion.

Conclusion: Acute RSA with tuberosity repair may be a reasonable treatment modality in the setting of an acute brachial plexus palsy following a comminuted fracture-dislocation of the proximal aspect of the humerus in an elderly patient.

Citing Articles

A proximal humerus fracture with concomitant axillary artery occlusion and axillary nerve palsy treated with reverse total shoulder arthroplasty: a case report.

Wright B, Gutowski C, Fedorka C JSES Rev Rep Tech. 2023; 3(4):529-533.

PMID: 37928998 PMC: 10624990. DOI: 10.1016/j.xrrt.2023.08.003.

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