Matches in SemOpenAlex for { <https://semopenalex.org/work/W630037726> ?p ?o ?g. }
Showing items 1 to 66 of
66
with 100 items per page.
- W630037726 abstract "BACKGROUND: Reverse total shoulder arthroplasty (RSA) received FDA approval for rotator cuff-tear arthropathy and has been shown to provide pain relief and improve function. RSA is a shoulder replacement procedure wherein there is a reversal of the physiological ball (humeral head) and socket (glenoid fossa of the scapula). The result is distal displacement and medialisation of the centre of rotation of the shoulder joint, increasing the lever arm of the deltoid and also allows more recruitment of deltoid muscle fibers for shoulder elevation and abduction. Its use has become popular even though with a high major complication rate. We present a case of proximal median neuropathy as a consequence of reverse shoulder arthroplasty. PATIENT: This is a case of a 72-year-old, left handed lady working as an artist painter, who underwent a left reverse total shoulder surgery for a massive rotator cuff tear injury. After 10 days following surgery, she developed left hand grip weakness, hot, burning and tingling sensation radiating particularly to the thumb, index and middle fingers. At 1 month postoperatively, a needle electromyography (EMG) study showed severe left proximal median mononeuropathy at/above origin of the branch to pronator teres muscle. OUTCOME: The mechanism of injury of the median nerve can be isolated to traction injury. Demonstrated on an in vitro cadaver brachial plexus computerized 3D model that successfully calculated the strain and measured nerve displacement before and after placement of reverse shoulder prosthesis (Van Hoof et al). Results showed that the medial (19.3[percnt]) and lateral (15.3[percnt]) root of the median nerve are far more strained than any other parts of the brachial plexus. CONCLUSIONS: To the authors’ best knowledge, this case is the first report of a proximal median mononeuropathy arising from reverse shoulder arthroplasty. Future design modifications should consider reducing the strain on the brachial plexus. Disclosure: Dr. See has nothing to disclose. Dr. Katirji has nothing to disclose. Dr. Preston has nothing to disclose. Dr. Shapiro has received research support from Actelion Pharmaceuticals." @default.
- W630037726 created "2016-06-24" @default.
- W630037726 creator A5038809579 @default.
- W630037726 creator A5050627362 @default.
- W630037726 creator A5062432540 @default.
- W630037726 creator A5075135174 @default.
- W630037726 date "2015-04-06" @default.
- W630037726 modified "2023-09-26" @default.
- W630037726 title "Mechanism for Proximal Median Neuropathy as a Complication of Reverse Shoulder Arthroplasty: Nerve Strain Calculated from a Computerized 3-D model Cadaver Brachial Plexus (P2.016)" @default.
- W630037726 hasPublicationYear "2015" @default.
- W630037726 type Work @default.
- W630037726 sameAs 630037726 @default.
- W630037726 citedByCount "0" @default.
- W630037726 crossrefType "journal-article" @default.
- W630037726 hasAuthorship W630037726A5038809579 @default.
- W630037726 hasAuthorship W630037726A5050627362 @default.
- W630037726 hasAuthorship W630037726A5062432540 @default.
- W630037726 hasAuthorship W630037726A5075135174 @default.
- W630037726 hasConcept C105702510 @default.
- W630037726 hasConcept C118552586 @default.
- W630037726 hasConcept C137711082 @default.
- W630037726 hasConcept C141071460 @default.
- W630037726 hasConcept C2776511800 @default.
- W630037726 hasConcept C2777515770 @default.
- W630037726 hasConcept C2778336525 @default.
- W630037726 hasConcept C2779110535 @default.
- W630037726 hasConcept C2781151446 @default.
- W630037726 hasConcept C71924100 @default.
- W630037726 hasConceptScore W630037726C105702510 @default.
- W630037726 hasConceptScore W630037726C118552586 @default.
- W630037726 hasConceptScore W630037726C137711082 @default.
- W630037726 hasConceptScore W630037726C141071460 @default.
- W630037726 hasConceptScore W630037726C2776511800 @default.
- W630037726 hasConceptScore W630037726C2777515770 @default.
- W630037726 hasConceptScore W630037726C2778336525 @default.
- W630037726 hasConceptScore W630037726C2779110535 @default.
- W630037726 hasConceptScore W630037726C2781151446 @default.
- W630037726 hasConceptScore W630037726C71924100 @default.
- W630037726 hasLocation W6300377261 @default.
- W630037726 hasOpenAccess W630037726 @default.
- W630037726 hasPrimaryLocation W6300377261 @default.
- W630037726 hasRelatedWork W1498610998 @default.
- W630037726 hasRelatedWork W1510747247 @default.
- W630037726 hasRelatedWork W1972360339 @default.
- W630037726 hasRelatedWork W2067111989 @default.
- W630037726 hasRelatedWork W2253802347 @default.
- W630037726 hasRelatedWork W2290108203 @default.
- W630037726 hasRelatedWork W2323721907 @default.
- W630037726 hasRelatedWork W2323749755 @default.
- W630037726 hasRelatedWork W2330463861 @default.
- W630037726 hasRelatedWork W2424552561 @default.
- W630037726 hasRelatedWork W2521112881 @default.
- W630037726 hasRelatedWork W2554224119 @default.
- W630037726 hasRelatedWork W2737051169 @default.
- W630037726 hasRelatedWork W2753508170 @default.
- W630037726 hasRelatedWork W2760591120 @default.
- W630037726 hasRelatedWork W2789557122 @default.
- W630037726 hasRelatedWork W2998650834 @default.
- W630037726 hasRelatedWork W3026124491 @default.
- W630037726 hasRelatedWork W3029110994 @default.
- W630037726 hasRelatedWork W3127036044 @default.
- W630037726 hasVolume "84" @default.
- W630037726 isParatext "false" @default.
- W630037726 isRetracted "false" @default.
- W630037726 magId "630037726" @default.
- W630037726 workType "article" @default.