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Article type: Research Article
Authors: Walker, William C.; * | Silver, Timothy M.
Affiliations: Department of Physical Medicine and Rehabilitation, Medical College of Virginia at Virginia Commonwealth University, Richmond, VA, USA
Correspondence: [*] Address for correspondence: William C. Walker, MD, 12807 Fox Meadow Drive, Richmond, VA 23233, USA. Tel.: +1 804 673 4421; E-mail: WCWalker@hsc.vcu.edu
Abstract: Anterior shoulder dislocation can secondarily cause nerve injury and/or rotator cuff tear. An elderly male with a recent shoulder dislocation and multiple medical comorbidities was transferred to a rehabilitation inpatient service in order to maximize his functional status. Physical exam suggested a brachial plexus injury. Electrodiagnostic testing confirmed a complete musculocutaneous and a partial axillary nerve lesion. This specific combination of nerve lesions is a previously unreported complication of anterior shoulder dislocation. Prognosis and treatment are discussed, particularly the use of electrodiagnostic findings to tailor rehabilitation program design.
Keywords: musculocutaneous nerve, axillary nerve, shoulder dislocation, brachial plexus injury, electrodiagnostics, rehabilitation
DOI: 10.3233/BMR-2002-16108
Journal: Journal of Back and Musculoskeletal Rehabilitation, vol. 16, no. 1, pp. 45-48, 2002
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