Acta Chir Orthop Traumatol Cech. 2015; 82(6):443-446 | DOI: 10.55095/achot2015/074

Destruction of the Humeral Head in Sensory Deficit due to the Spinal Hemorhagia. Case ReportCase report

J. KŘÍŽ1,2,*, J. MIKEŠ1
1 Spinální jednotka při Klinice rehabilitace a tělovýchovného lékařství a 2. lékařské fakulty Univerzity Karlovy a Fakultní nemocnice v Motole, Praha
2 Ortopedicko-traumatologická klinika 3. lékařské fakulty Univerzity Karlovy a Fakultní nemocnice Královské Vinohrady, Praha

Degenerative changes of the shoulder are a common complication in patients after spinal cord injury. The main cause is chronic overload to the shoulder joint due to manual wheelchair propulsion and transfers. Reduced shoulder function has a significant impact on all aspects of daily life. Shoulder arthroplasty in this group of patients is a challenging procedure because of the unique demand on the shoulder. This report presents the case of a wheelchair user who additionally experienced a complete loss of sensation around her shoulder. As a result of a repetitive strain during transfers from the wheelchair to the ground, the humeral head was destroyed.

Keywords: spinal cord injury, shoulder, degenerative changes, shoulder arthroplasty

Published: December 1, 2015  Show citation

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KŘÍŽ J, MIKEŠ J. Destruction of the Humeral Head in Sensory Deficit due to the Spinal Hemorhagia. Case Report. Acta Chir Orthop Traumatol Cech. 2015;82(6):443-446. doi: 10.55095/achot2015/074. PubMed PMID: 26787187.
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    References

    1. BAYLEY, J.C., COCHRAN, T.P., SLEDGE, C.B.: The weight-bearing shoulder. The impingement syndrome in paraplegics. J. Bone Jt Surg., 69-A: 676-678, 1987. Go to original source...
    2. COFIELD, R.H., SPERLING, J.W.: Revision and complex shoulder arthroplasty. Philadelphia, Lippincott Williams and Wilkins 2010, 293-296.
    3. ESCOBEDO, E.M., HUNTER, J.C., HOLLISTER, M.C., PATTEN, R.M., GOLDSTEIN, B.: MR imaging of rotator cuff tears in individuals with paraplegia. Am. J. Roentgenol., 168: 919-923, 1997. Go to original source... Go to PubMed...
    4. GARREAU DE LOUBRESSE, C., NORTON, M.R., PIRIOU, P., WALCH, G. : Replacement arthroplasty in the weight-bearing shoulder of paraplegic patients. J. Shoulder Elbow Surg., 13: 369-372, 2004.
    5. HATTRUP, S.J., COFIELD, R.H.: Shoulder arthroplasty in the paraplegic patient. J. Shoulder Elbow Surg., 19: 434-438, 2010. Go to original source... Go to PubMed...
    6. KIVIMAKI, J., AHONIEMI, E.: Ultrasonographic findings in shoulders of able-bodied, paraplegic and tetraplegic subjects. Spinal Cord, 46: 50-52, 2008. Go to original source... Go to PubMed...
    7. KOMIYMA, M., YASUI, T., SUMIMOTO, T., FU, Y.: Spontaneous spinal subarachnoid hematoma of unknown pathogenesis: case reports. Neurosurgery, 41: 691-694, 1997. Go to original source... Go to PubMed...
    8. LAL, S.: Premature degenerative shoulder changes in spinal cord injury patients. Spinal Cord, 36: 186-189, 1998. Go to original source... Go to PubMed...
    9. PENTLAND, W.E., TWOMEY, L.T.: Upper limb function in persons with long term paraplegia and implications for independence: Part I. Paraplegia, 32: 211-218, 1994. Go to original source... Go to PubMed...

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