Jennifer Kurowicki1, Jacob J Triplet2, Derek D Berglund3, Thomas Zink2, Samuel Rosas4, Jonathan C Levy3. 1. Department of Orthopaedics, School of Health and Medical Sciences, Seton Hall University, South Orange, New Jersey. 2. OhioHealth Doctors Hospital, Columbus, Ohio. 3. Holy Cross Orthopedic Institute, Fort Lauderdale, Florida. 4. Department of Orthopaedic Surgery, Wake Forest School of Medicine, Winston-Salem, North Carolina.
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.
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.
Authors: A Lädermann; A Lübbeke; B Mélis; R Stern; P Christofilopoulos; G Bacle; G Walch Journal: J Bone Joint Surg Am Date: 2011-07-20 Impact factor: 5.284
Authors: Tsun Yee Law; Sam Rosas; Florence George; Jennifer Kurowicki; Nate Formaini; Jonathan Levy Journal: Am J Orthop (Belle Mead NJ) Date: 2017 Jan/Feb