title: [Destruction of the Humeral Head in Sensory Deficit due to the Spinal Hemorhagia. Case Report].
abstract: Degenerative changes of the shoulder are a common complication in patients after spinal cord injury. The main cause is chronic overload to the shoulder joint due to manual wheelchair propulsion and transfers. Reduced shoulder function has a significant impact on all aspects of daily life. Shoulder arthroplasty in this group of patients is a challenging procedure because of the unique demand on the shoulder. This report presents the case of a wheelchair user who additionally experienced a complete loss of sensation around her shoulder. As a result of a repetitive strain during transfers from the wheelchair to the ground, the humeral head was destroyed.
authors.affiliation: Spinální jednotka při Klinice rehabilitace a tělovýchovného lékařství a 2. lékařské fakulty Univerzity Karlovy a Fakultní nemocnice v Motole, Praha.
authors.forename: J
authors.initials: J
authors.lastname: Kříž
authors.forename: J
authors.initials: J
authors.lastname: Mikeš
mesh_terms: D000328:Adult; D001178:Arthroplasty; D012090:Cumulative Trauma Disorders / Q000209:etiology* / Q000601:surgery; D005260:Female; D006470:Hemorrhage / Q000150:complications*; D006801:Humans; D006811:Humerus / Q000294:innervation / Q000473:pathology*; D011247:Pregnancy; D012678:Sensation Disorders / Q000209:etiology* / Q000601:surgery; D013119:Spinal Cord Injuries / Q000150:complications*; D014910:Wheelchairs