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[Suspected traumatic posterior shoulder luxation].

Mark H F Keulen1,2, Stijn G C J de Joode1, Steffie E J M Klemann-Harings1

  • 1Zuyderland Medisch Centrum, afd. Orthopedie, Heerlen.

Nederlands Tijdschrift Voor Geneeskunde
|October 25, 2019
PubMed
Summary

Obstetric brachial plexus lesions can lead to shoulder deformities. Posterior shoulder luxation is a rare complication requiring specialized multidisciplinary care, as closed reduction is ineffective.

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Area of Science:

  • Orthopedics
  • Neurology
  • Pediatric Medicine

Background:

  • Obstetric brachial plexus lesions result from birth trauma during shoulder dystocia.
  • Persistent lesions can cause secondary rotator cuff imbalance and glenohumeral deformities.
  • This case highlights a rare complication in an adult with a history of such a lesion.

Observation:

  • A 34-year-old male presented with acute right shoulder pain.
  • Initial X-rays suggested posterior shoulder luxation, but closed reduction attempts failed.
  • CT scan revealed severe glenohumeral dysplasia with posterior humeral head luxation and retroversion.

Findings:

  • The patient experienced symptom relief with conservative management including rest and NSAIDs.
  • Closed reduction was ineffective for the posterior shoulder luxation.

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  • Severe dysplasia and malrotation of the humeral head were identified as underlying issues.
  • Implications:

    • Posterior shoulder luxation is a potential, albeit rare, complication of obstetric brachial plexus lesions.
    • Standard closed reduction techniques are unsuitable for these complex cases.
    • Multidisciplinary team expertise is crucial for optimal management of obstetric brachial plexus lesion complications.