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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Main Authors: Malik Jessen, Christian Gerhardt, Lars-Johannes Lehmann, Jonas Schmalzl
Format: Article
Language:English
Published: Wiley 2020-01-01
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.
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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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