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Brachial plexus lesions associated with dislocated shoulders.

J Travlos1, I Goldberg, R S Boome

  • 1University of Cape Town, Rondebosch, Republic of South Africa.

The Journal of Bone and Joint Surgery. British Volume
|January 1, 1990
PubMed
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Shoulder dislocations can cause brachial plexus injuries, affecting nerves above and below the collarbone. While some nerves recover spontaneously, others require surgical intervention for optimal outcomes.

Area of Science:

  • Neurology
  • Orthopedic Surgery
  • Neurosurgery

Background:

  • Brachial plexus lesions are often associated with shoulder dislocations.
  • Previous classifications may not fully capture the clinical relevance of these injuries.

Purpose of the Study:

  • To analyze the patterns and outcomes of brachial plexus lesions resulting from shoulder dislocations.
  • To propose a new, clinically relevant classification system for these injuries.

Main Methods:

  • Review of 28 patients with brachial plexus lesions secondary to shoulder dislocation.
  • Exploration and surgical intervention (grafting or neurolysis) for non-recovering lesions after 3-5 months.

Main Results:

  • Neurological involvement extended to both infraclavicular and supraclavicular brachial plexus.

Related Experiment Videos

  • Suprascapular nerve involvement consistently showed spontaneous recovery.
  • Isolated axillary nerve lesions had the poorest prognosis for spontaneous recovery.

    • Conclusions:

    • Brachial plexus injuries from shoulder dislocations can be complex, involving multiple nerve segments.
    • Surgical intervention is indicated for persistent lesions.
    • A new classification system is proposed for improved clinical relevance.