Walker W C, Silver T M
Department of Physical Medicine and Rehabilitation, Medical College of Virginia at Virginia Commonwealth University, Richmond, VA, USA.
J Back Musculoskelet Rehabil. 2002 Jan 1;16(1):45-8. doi: 10.3233/bmr-2002-16108.
Anterior shoulder dislocation can secondarily cause nerve injury and/or rotator cuff tear. An elderly male with a recent shoulder dislocation and multiple medical comorbidities was transferred to a rehabilitation inpatient service in order to maximize his functional status. Physical exam suggested a brachial plexus injury. Electrodiagnostic testing confirmed a complete musculocutaneous and a partial axillary nerve lesion. This specific combination of nerve lesions is a previously unreported complication of anterior shoulder dislocation. Prognosis and treatment are discussed, particularly the use of electrodiagnostic findings to tailor rehabilitation program design.
肩关节前脱位可继发神经损伤和/或肩袖撕裂。一名近期发生肩关节脱位且伴有多种内科合并症的老年男性被转至康复住院部，以最大限度地改善其功能状态。体格检查提示臂丛神经损伤。电诊断测试证实存在完全性肌皮神经损伤和部分腋神经损伤。这种特定的神经损伤组合是肩关节前脱位一种此前未报道过的并发症。文中讨论了预后及治疗方法，特别是如何利用电诊断结果来制定康复计划。
