title: Irreducible shoulder dislocation - a word of caution.
abstract: Anterior dislocation of shoulder is usually amenable to closed manipulation. Failure to achieve satisfactory reduction can be due to soft tissue or osseous interposition. We report a case of irreducible anterior shoulder dislocation with the interposition of the musculocutaneous nerve. This required open reduction and release of the musculocutaneous nerve; which was found to be further trapped by the torn long head of biceps.
authors.affiliation: University of Calgary, 711-3607 49ST NW, Calgary T3A2H3, Canada. gudenar@msn.com
authors.forename: R
authors.initials: R
authors.lastname: Gudena
authors.forename: K P
authors.initials: KP
authors.lastname: Iyengar
authors.forename: J B
authors.initials: JB
authors.lastname: Nadkarni
authors.forename: W
authors.initials: W
authors.lastname: Loh
mesh_terms: D000058:Accidental Falls; D005500:Follow-Up Studies; D006801:Humans; D008023:Ligaments, Articular / Q000293:injuries / Q000601:surgery; D008297:Male; D008349:Manipulation, Orthopedic / Q000009:adverse effects* / Q000379:methods; D008875:Middle Aged; D009104:Multiple Trauma / Q000000981:diagnostic imaging / Q000601:surgery; D009138:Musculocutaneous Nerve / Q000293:injuries / Q000601:surgery*; D009416:Nerve Regeneration / Q000502:physiology; D019637:Orthopedic Procedures / Q000379:methods*; D011859:Radiography; D020127:Recovery of Function; D012783:Shoulder Dislocation / Q000000981:diagnostic imaging / Q000628:therapy*; D000070599:Shoulder Injuries; D012785:Shoulder Joint / Q000000981:diagnostic imaging / Q000601:surgery*; D017695:Soft Tissue Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D017211:Treatment Failure; D016896:Treatment Outcome