Non traumatic dislocation of shoulder with rupture of axillary vessel branch in a paraplegic patient: a case report.
Spinal cord injured (SCI) patients utilize the shoulder joints for wheelchair propulsion, for transfers in and out of wheelchairs and for wheelchair "push-ups" for pressure relief, to prevent pressure sores. Accurate incidence of shoulder dislocation in SCI patients is not known. A majority of the dislocations seen are secondary to trauma. A 66-year-old, T10 paraplegic since 1942, developed severe osteoarthritic changes in both shoulders and experienced nontraumatic, recurrent dislocation of his right shoulder with a rupture of the axillary vessel branch. This case is reported here because of its rarity.
Subbarao
J V
JV
Comprehensive Rehabilitation Center, Hines VAMC, IL 60141.
Chintam
R
R
Rao
M S
MS
Nemchausky
B
B
D000368:Aged; D001174:Arthrodesis; D001367:Axillary Vein / Q000293:injuries*; D006406:Hematoma / Q000175:diagnosis / Q000209:etiology; D006801:Humans; D006973:Hypertension / Q000150:complications; D008297:Male; D010264:Paraplegia / Q000150:complications*; D012422:Rupture, Spontaneous / Q000150:complications; D012783:Shoulder Dislocation / Q000150:complications / Q000175:diagnosis / Q000601:surgery