AI Article Synopsis
- An 80-year-old woman suffered a fracture-dislocation of her shoulder and experienced near-complete brachial plexopathy.
- She underwent a reverse shoulder arthroplasty (RSA) with tuberosity repair, which led to her significant recovery and improved shoulder function.
- At follow-up, she achieved full resolution of nerve issues and had a pain-free range of motion, suggesting RSA is a viable treatment option for similar injuries in elderly patients.
Article 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.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6427917 | PMC |
| http://dx.doi.org/10.2106/JBJS.CC.17.00204 | DOI Listing |
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