• Der Unfallchirurg · May 2018

    [Paresis of the brachial plexus after anterior shoulder luxation : Traumatic damage or compression due to hematoma?]

    • F Liska, L Lacheta, A B Imhoff, and A Schmitt.
    • Klinik für Orthopädie und Sportorthopädie, Klinikum Rechts der Isar, Technische Universität München, Ismaninger Str. 22, 81675, München, Deutschland. Franz.Liska@tum.de.
    • Unfallchirurg. 2018 May 1; 121 (5): 419-422.

    AbstractAfter traumatic anterior shoulder dislocation and self-reduction, the patient initially showed an inconspicuous clinical course. At the time of presentation in the emergency room the upper limb neurological status was reported to be normal. After discharge, paresis of the brachial plexus of the left arm occurred within 8 h. A subsequently performed computed tomography (CT) scan revealed a hematoma close to the brachial plexus, which was treated by surgical decompression and resulted in symptom relief. This case report describes a rare but significant complication after anterior shoulder dislocation, which should not be underestimated in the setting of a surgical emergency admission.

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