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Nerve injuries in anterior shoulder dislocations
1Department of Orthopaedics, International Medical University, Jalan Rasah, Seremban 70100, Negeri Sembilan.
The Medical Journal of Malaysia
|March 23, 2005
Summary
Nerve injuries are common in shoulder dislocations, affecting over 9% of patients before reduction. Routine neurological exams are crucial for diagnosing these injuries, especially axillary nerve damage.
Area of Science:
- Orthopedic Surgery
- Neurology
- Sports Medicine
Background:
- Anterior shoulder dislocations frequently occur.
- Nerve injuries are a potential complication of shoulder dislocations.
Purpose of the Study:
- To determine the incidence of nerve injuries in anterior shoulder dislocations.
- To assess the routine performance of neurological examinations in these cases.
Main Methods:
- Retrospective review of 115 shoulder dislocations in 100 patients.
- Analysis of pre- and post-reduction neurological examination data.
Main Results:
- 9.2% of patients examined pre-reduction had neurological injuries.
- 11 patients (approximately 10%) sustained nerve injuries overall.
- Axillary nerve injuries were the most frequent, occurring in 8 patients.
Conclusions:
- Nerve injuries are a significant complication of anterior shoulder dislocations.
- Consistent performance and documentation of neurological examinations are essential.
- Early detection and management of nerve injuries improve patient outcomes.
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