Severe Heterotopic Ossification with Proximal Entrapment of the Ulnar Nerve following Primary Anterior Shoulder Dislocation
Heterotopic ossifications (HO) in the shoulder are rare. The effectiveness of conservative treatment is limited, and therefore, symptomatic cases are usually treated surgically. However, there are no guidelines for the surgical treatment of HO. Herein, we report the case of a 45-year-old man with se...
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Wiley
2020-01-01
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Series: | Case Reports in Orthopedics |
Online Access: | http://dx.doi.org/10.1155/2020/8883758 |
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author | Malik Jessen Christian Gerhardt Lars-Johannes Lehmann Jonas Schmalzl |
author_facet | Malik Jessen Christian Gerhardt Lars-Johannes Lehmann Jonas Schmalzl |
author_sort | Malik Jessen |
collection | DOAJ |
description | Heterotopic ossifications (HO) in the shoulder are rare. The effectiveness of conservative treatment is limited, and therefore, symptomatic cases are usually treated surgically. However, there are no guidelines for the surgical treatment of HO. Herein, we report the case of a 45-year-old man with severe HO and proximal entrapment of the ulnar nerve following primary anterior shoulder dislocation without concomitant injuries (e.g., fracture and rotator cuff tears). Surgical intervention was indicated, including resection of HO and neurolysis of the brachial plexus. Nine months after surgery, the patient presented with restored shoulder function, pain relief, and good patient satisfaction. The case shows that the ulnar nerve can also be impaired due to HO following shoulder dislocation. |
format | Article |
id | doaj-art-ecbab533dec64aa19e9b902cb0b1585b |
institution | Kabale University |
issn | 2090-6749 2090-6757 |
language | English |
publishDate | 2020-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Orthopedics |
spelling | doaj-art-ecbab533dec64aa19e9b902cb0b1585b2025-02-03T01:28:33ZengWileyCase Reports in Orthopedics2090-67492090-67572020-01-01202010.1155/2020/88837588883758Severe Heterotopic Ossification with Proximal Entrapment of the Ulnar Nerve following Primary Anterior Shoulder DislocationMalik Jessen0Christian Gerhardt1Lars-Johannes Lehmann2Jonas Schmalzl3Department of Traumatology and Hand Surgery, St. Vincentius Clinic, ViDia Clinics, Teaching Hospital of the Albert-Ludwigs-University Freiburg, Suedendstraße 32, 76137 Karlsruhe, GermanyDepartment of Traumatology and Hand Surgery, St. Vincentius Clinic, ViDia Clinics, Teaching Hospital of the Albert-Ludwigs-University Freiburg, Suedendstraße 32, 76137 Karlsruhe, GermanyDepartment of Traumatology and Hand Surgery, St. Vincentius Clinic, ViDia Clinics, Teaching Hospital of the Albert-Ludwigs-University Freiburg, Suedendstraße 32, 76137 Karlsruhe, GermanyDepartment of Traumatology and Hand Surgery, St. Vincentius Clinic, ViDia Clinics, Teaching Hospital of the Albert-Ludwigs-University Freiburg, Suedendstraße 32, 76137 Karlsruhe, GermanyHeterotopic ossifications (HO) in the shoulder are rare. The effectiveness of conservative treatment is limited, and therefore, symptomatic cases are usually treated surgically. However, there are no guidelines for the surgical treatment of HO. Herein, we report the case of a 45-year-old man with severe HO and proximal entrapment of the ulnar nerve following primary anterior shoulder dislocation without concomitant injuries (e.g., fracture and rotator cuff tears). Surgical intervention was indicated, including resection of HO and neurolysis of the brachial plexus. Nine months after surgery, the patient presented with restored shoulder function, pain relief, and good patient satisfaction. The case shows that the ulnar nerve can also be impaired due to HO following shoulder dislocation.http://dx.doi.org/10.1155/2020/8883758 |
spellingShingle | Malik Jessen Christian Gerhardt Lars-Johannes Lehmann Jonas Schmalzl Severe Heterotopic Ossification with Proximal Entrapment of the Ulnar Nerve following Primary Anterior Shoulder Dislocation Case Reports in Orthopedics |
title | Severe Heterotopic Ossification with Proximal Entrapment of the Ulnar Nerve following Primary Anterior Shoulder Dislocation |
title_full | Severe Heterotopic Ossification with Proximal Entrapment of the Ulnar Nerve following Primary Anterior Shoulder Dislocation |
title_fullStr | Severe Heterotopic Ossification with Proximal Entrapment of the Ulnar Nerve following Primary Anterior Shoulder Dislocation |
title_full_unstemmed | Severe Heterotopic Ossification with Proximal Entrapment of the Ulnar Nerve following Primary Anterior Shoulder Dislocation |
title_short | Severe Heterotopic Ossification with Proximal Entrapment of the Ulnar Nerve following Primary Anterior Shoulder Dislocation |
title_sort | severe heterotopic ossification with proximal entrapment of the ulnar nerve following primary anterior shoulder dislocation |
url | http://dx.doi.org/10.1155/2020/8883758 |
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