1/8. The use of a "reverse" axis (axillary-interscalene) block in a patient presenting with fractures of the left shoulder and elbow.IMPLICATIONS: A patient presented for surgery to repair a fractured left shoulder and elbow and requested regional anesthesia. Most upper extremity operations require a single brachial plexus nerve block. The position of the two fractures however required the use of two separate approaches, an interscalene and an axillary approach.- - - - - - - - - - ranking = 1keywords = upper (Clic here for more details about this article) |
2/8. Arthroscopic treatment of gunshot wounds to the shoulder.Two cases are presented that demonstrate the utility of arthroscopic intervention for the management of gunshot wounds to the shoulder. The first report involves a 24-year-old man with a retained bullet in his glenohumeral joint after a drive-by shooting The intra-articular bullet was retrieved arthroscopically avoiding chondral injury from the mechanical effects of a loose body as well as the potential local and systemic effects of lead toxicity. Irrigation and debridement was performed to evacuate joint debris, which could have served as a nidus for infection or inflammation. The other case describes a 19-year-old man who sustained a gunshot wound to the lateral portion of his upper arm resulting in a proximal humerus fracture along with a retained bullet in his subacromial space. The bullet was successfully removed arthroscopically avoiding a traditional exposure, which would have complicated his fracture care.- - - - - - - - - - ranking = 1keywords = upper (Clic here for more details about this article) |
3/8. Purtscher's retinopathy after fracture dislocation of shoulder joint.Purtscher described sudden blindness in patients with severe head trauma due to a remote retinopathy, characterised by bilateral retinal haemorrhages, cotton wool spots, and optic disc swelling seen on fundoscopy. A similar retinopathy has been reported in compressive chest trauma, long bone fractures, and acute pancreatitis. It is less well recognised that Purtscher's retinopathy can occur unilaterally and following less severe trauma. We present a case of unilateral remote traumatic retinal angiopathy following a fracture dislocation of the shoulder joint.- - - - - - - - - - ranking = 0.63505793354758keywords = chest (Clic here for more details about this article) |
4/8. Scapulothoracic dissociation--A case report.Scapulothoracic dissociation (SCTD) is a rare clinical entity with fewer than 70 cases reported in English literature. The mechanism of injury is severe rotational force, which causes disruption of the shoulder girdle from the rest of chest wall. Frequently, SCTD produces massive blood loss as it involves major fractures of the upper extremity, disruption of muscle, brachial plexus, and vascular damage. This case report demonstrates classical radiological findings of SCTD with brachial plexus injury but with no associated vascular damage.- - - - - - - - - - ranking = 1.6350579335476keywords = upper, chest (Clic here for more details about this article) |
5/8. Isolated avulsion fracture of the lesser tuberosity of the humerus.Three cases of isolated avulsion fracture of the lesser tuberosity are described together with a review of six previously reported cases. Of the total cases, six had a well-documented mode of injury, in which a strong abducting force was applied to the medial aspect of the upper arm, causing exaggerated abduction and external rotation. The contracting subscapularis muscle displaces the avulsed bony insertion to a position below the glenoid to give a characteristic appearance on the radiograph. This appearance should not be confused with calcific tendonitis. The lesion may warrant surgical intervention which has been successful in half the cases.- - - - - - - - - - ranking = 1keywords = upper (Clic here for more details about this article) |
6/8. Anterior shoulder reconstruction with pectoralis minor muscle flap.The pectoralis minor flap can be utilized by the reconstructive surgeon to cover defects of the shoulder, chest, and anterior neck without the morbidity or cosmetic deformity associated with the pectoralis major or latissimus dorsi flap.- - - - - - - - - - ranking = 0.63505793354758keywords = chest (Clic here for more details about this article) |
7/8. Shoulder complications as a cause of delay in rehabilitation of spinal cord injured patients. (case reports and review of the literature).We describe ten patients with spinal cord disease or injury who developed upper extremity and shoulder complications during rehabilitation. These shoulder complications caused delay in rehabilitation. We discuss the aetiology, treatment and management of shoulder complications in spinal patients and in patients with other neurological diseases.- - - - - - - - - - ranking = 1keywords = upper (Clic here for more details about this article) |
8/8. A slowly evolving brachial plexus injury following a proximal humeral fracture in a child.The association of fractures and neurological injuries is well recognized, especially with certain upper limb fractures. Typically, the nerve injury occurs at the time of initial fracture displacement. A case is reported of an unusual combination of fracture and nerve injury in a child, with the extremely rare occurrence of a slowly evolving nerve injury. The potential for delayed nerve injury following a fracture needs to be appreciated to prevent delays in diagnosis and treatment.- - - - - - - - - - ranking = 1keywords = upper (Clic here for more details about this article) |