Plexus injury after reduction of anterior caudal dislocation of the shoulder.
The case is reported of a 45-year-old male patient who fell when his ladder slipped away underneath him. He sustained a bilateral dislocation of the shoulders (bilateral luxatio erecta humeri). The injury on the one hand a glenohumeral dislocation of the humerus head right to ventral and caudal, accompanied by a suspected fracture of the tuberculum major and on the other hand a glenohumeral dislocation of the left humerus head to ventral and caudal, accompanied by a suspected total collum fracture. Based on this case and the pertinent literature, the patho-physiology, diagnosis and treatment of this rare injury are discussed. After immediate closed reduction, soft tissue damage, fractures or neurovascular lesions should be operated on as soon as possible.
Somville
F J M P
FJ
Surgeon - Traumatology, UIA, Saint Vincentius Hosp., dpt. gen. surgery, Antwerp, Belgique.
D020516:Brachial Plexus Neuropathies / Q000209:etiology*; D006801:Humans; D006810:Humeral Fractures / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology*; D012019:Reflex Sympathetic Dystrophy / Q000209:etiology; D012783:Shoulder Dislocation / Q000601:surgery*