AI Article Synopsis
- A 42-year-old patient developed long thoracic nerve palsy after using one axillary crutch following tibia and fibula fractures.
- The crutches were needed after surgery, but using just one caused an uneven walking pattern that put pressure on the chest.
- After 6 months without recovery, it’s highlighted that clinicians should be cautious about potential nerve damage when providing guidance on crutch use.
Article Abstract
We describe a 42-year-old patient who incurred long thoracic nerve palsy after using one axillary crutch. The patient sustained fractures to his left tibia and fibula. The fractures required internal fixation with a locked intramedullary nail and postoperative restricted weightbearing using axillary crutches. When weightbearing was progressed, the patient began using one axillary crutch on the right side. The resulting asymmetric gait pattern forced the crutch onto his chest wall, which led to right-sided long thoracic nerve palsy. The patient had not recovered 6 months after the injury. When providing axillary crutches, clinicians must consider potential compromise of the long thoracic nerve and the brachial plexus if the crutch is used inappropriately.
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| http://dx.doi.org/10.1097/01.blo.0000205880.27964.a3 | DOI Listing |
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