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An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient
Published on: November 30, 2022
Shoulder Injuries Secondary to Proning: Sequelae of Long COVID Syndrome: A Case Report
Senthil Muthian1, Marisa Hadjichristofis1
1Department of Orthopaedics, Royal Bournemouth Hospital, Bournemouth, United Kingdom.
Introduction:
Prolonged proning is widely used in the management of severe acute respiratory distress syndrome (ARDS), most notably during the COVID-19 pandemic. Although brachial plexus injuries are recognized complications, structural shoulder injuries remain rarely reported.
Case Report:
We report a case of a patient who developed a glenoid fracture and persistent shoulder dysfunction following prolonged proning for COVID-19-related ARDS. Clinical assessment, radiological findings, and management strategies are detailed.
Discussion:
This case highlights unique mechanical and physiological risk factors for structural shoulder injury during proning, including obesity, diabetic neuropathy, prolonged intensive care unit stay, and positioningrelated stress.
Conclusion:
Structural glenohumeral injuries should be considered in patients presenting persistent shoulder dysfunction after prolonged proning. Awareness and preventive positioning strategies are essential.
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