Document Detail


Concurrent rotator cuff tear and axillary nerve palsy associated with anterior dislocation of the shoulder and large glenoid rim fracture: a "terrible tetrad".
MedLine Citation:
PMID:  25024858     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
We present a case of concurrent rotator cuff tear and axillary nerve palsy resulting from anterior dislocation of the shoulder and a large glenoid rim fracture-a "terrible tetrad." A 61-year-old woman fell on her right shoulder. Radiographs showed anterior dislocation of the shoulder with a glenoid rim fracture, and an MRI two months after injury revealed a rotator cuff tear. Upon referral to our hospital, physical and electrophysiological examinations revealed axillary nerve palsy. The axillary nerve palsy was incomplete and recovering, and displacement of the glenoid rim fracture was minimal and already united; therefore, we surgically repaired only the rotator cuff tear three months after injury. The patient recovered satisfactorily following the operation. In patients whose axillary nerve palsy is recovering, surgeons should consider operating on rotator cuff tears in an attempt to prevent rotator cuff degeneration.
Authors:
Fumiaki Takase; Atsuyuki Inui; Yutaka Mifune; Tomoyuki Muto; Yoshifumi Harada; Takeshi Kokubu; Masahiro Kurosaka
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Publication Detail:
Type:  Journal Article     Date:  2014-06-12
Journal Detail:
Title:  Case reports in orthopedics     Volume:  2014     ISSN:  2090-6749     ISO Abbreviation:  Case Rep Orthop     Publication Date:  2014  
Date Detail:
Created Date:  2014-07-15     Completed Date:  2014-07-15     Revised Date:  2014-07-17    
Medline Journal Info:
Nlm Unique ID:  101591806     Medline TA:  Case Rep Orthop     Country:  United States    
Other Details:
Languages:  eng     Pagination:  312968     Citation Subset:  -    
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