Poster 199 Radial Nerve Palsy After an Anterior Shoulder Dislocation: A Case Report

Johnson, Joshua R.; McKee, Paul B.

doi:10.1016/j.pmrj.2011.08.230

Cited by 1 publication

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“…Radial nerve palsy after glenohumeral dislocation occurs rarely in the literature. Al-Khateeb et al reported a 74-year-old female with drop wrist, anterior shoulder dislocation following low-energy trauma, 18 while Johnson 19 described isolated radial nerve palsy in a 86-year-ole man with anterior shoulder dislocation. Yeap et al, 15 in a study of 86 patients who were examined with shoulder dislocation, found that 8 of them had sustained neurological injuries and there was one case with isolated radial nerve palsy.…”

Section: Discussionmentioning

confidence: 99%

Isolated Radial Nerve Palsy as a Complication After Anterior Dislocation of the Glenohumeral Joint: A Case Report and Clinical Review

Kastanis

Kapsetakis

Velivasakis

et al. 2019

Journal of Investigative Medicine High Impact Case Reports

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Shoulder dislocation is the most common feature in emergencies, while the anterior dislocation of the glenohumeral joint is the most frequent and requires reduction. Accompanied nerve injury is common with an incidence of 21%, while radial nerve palsy is very rare. We describe the case of a 56-year-old man who presented with an anterior dislocation of the left shoulder due to a fall on an outstretched hand with wrist drop 8 hours after injury. Neurological examination revealed loss of sensation along the radial border of the forearm. Closed reduction with Kocher procedure was performed. Magnetic resonance image demonstrated a rotator cuff tear, and 3 weeks after the injury electromyography showed complete radial nerve palsy. A physiotherapy program was applied to the wrist and fingers with the goal of maintaining a full passive range of motion in all joints affected while shoulder rehabilitation started 6 weeks after his fall. Isolated radial nerve palsy associated with an anterior dislocation of the shoulder is very rare but not impossible to occur. Correct diagnosis of the nerve injury associated with the anterior dislocation is very important because it has serious implications on the management and activity morbidity.

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Section: Discussionmentioning

confidence: 99%