Transient postoperative inferior subluxation of the shoulder after surgical stabilization of recurrent anterior dislocation in a patient with myasthenia gravis: a case report
The authors present a case of transient postoperative inferior subluxation of the shoulder after arthroscopic surgical stabilization for recurrent anterior dislocation. The patient was a 61-year-old woman with myasthenia gravis (MG). The first anterior shoulder dislocation occurred because of a fall...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Korean Shoulder and Elbow Society
2023-09-01
|
| Series: | Clinics in Shoulder and Elbow |
| Subjects: | |
| Online Access: | http://www.cisejournal.org/upload/pdf/cise-2022-00794.pdf |
| _version_ | 1797328902644826112 |
|---|---|
| author | Samuel Baek Geum-Ho Lee Myung Ho Shin Tae Min Kim Kyung-Soo Oh Seok Won Chung |
| author_facet | Samuel Baek Geum-Ho Lee Myung Ho Shin Tae Min Kim Kyung-Soo Oh Seok Won Chung |
| author_sort | Samuel Baek |
| collection | DOAJ |
| description | The authors present a case of transient postoperative inferior subluxation of the shoulder after arthroscopic surgical stabilization for recurrent anterior dislocation. The patient was a 61-year-old woman with myasthenia gravis (MG). The first anterior shoulder dislocation occurred because of a fall to the ground. Despite a successful closed reduction, two more dislocations occurred in 3 weeks. Magnetic resonance imaging revealed an anterior labroligamentous periosteal sleeve avulsion (ALPSA) lesion, an engaging Hill-Sachs lesion, and large tears of the supraspinatus and infraspinatus tendons. The patient underwent arthroscopic rotator cuff repair and ALPSA repair with a remplissage procedure. Intraoperatively, no tendency for instability was found; however, a widened glenohumeral joint space and inferior subluxation of the humeral head without functional compromise was observed on the day after surgery and disappeared spontaneously on radiographs 2 weeks later. To the authors’ knowledge, this is the first report documenting the occurrence of transient postoperative inferior subluxation of the shoulder in a patient with MG. Level of evidence V. |
| first_indexed | 2024-03-08T06:57:42Z |
| format | Article |
| id | doaj.art-3d81050f26f7434281322527a7015f55 |
| institution | Directory Open Access Journal |
| issn | 2288-8721 |
| language | English |
| last_indexed | 2024-03-08T06:57:42Z |
| publishDate | 2023-09-01 |
| publisher | Korean Shoulder and Elbow Society |
| record_format | Article |
| series | Clinics in Shoulder and Elbow |
| spelling | doaj.art-3d81050f26f7434281322527a7015f552024-02-03T06:28:21ZengKorean Shoulder and Elbow SocietyClinics in Shoulder and Elbow2288-87212023-09-0126330230510.5397/cise.2022.00794859Transient postoperative inferior subluxation of the shoulder after surgical stabilization of recurrent anterior dislocation in a patient with myasthenia gravis: a case reportSamuel Baek0Geum-Ho Lee1Myung Ho Shin2Tae Min Kim3Kyung-Soo Oh4Seok Won Chung5 Department of Orthopaedic Surgery, Seoul Red Cross Hospital, Seoul, Korea Department of Orthopaedic Surgery, Seoul Red Cross Hospital, Seoul, Korea Department of Orthopaedic Surgery, CM Hospital, Seoul, Korea Department of Orthopaedic Surgery, Seoul Prime Hospital, Seoul, Korea Department of Orthopaedic Surgery, Konkuk University School of Medicine, Seoul, Korea Department of Orthopaedic Surgery, Konkuk University School of Medicine, Seoul, KoreaThe authors present a case of transient postoperative inferior subluxation of the shoulder after arthroscopic surgical stabilization for recurrent anterior dislocation. The patient was a 61-year-old woman with myasthenia gravis (MG). The first anterior shoulder dislocation occurred because of a fall to the ground. Despite a successful closed reduction, two more dislocations occurred in 3 weeks. Magnetic resonance imaging revealed an anterior labroligamentous periosteal sleeve avulsion (ALPSA) lesion, an engaging Hill-Sachs lesion, and large tears of the supraspinatus and infraspinatus tendons. The patient underwent arthroscopic rotator cuff repair and ALPSA repair with a remplissage procedure. Intraoperatively, no tendency for instability was found; however, a widened glenohumeral joint space and inferior subluxation of the humeral head without functional compromise was observed on the day after surgery and disappeared spontaneously on radiographs 2 weeks later. To the authors’ knowledge, this is the first report documenting the occurrence of transient postoperative inferior subluxation of the shoulder in a patient with MG. Level of evidence V.http://www.cisejournal.org/upload/pdf/cise-2022-00794.pdfshoulder dislocationrotator cuff injuriesmyasthenia gravisjoint subluxationconservative treatment |
| spellingShingle | Samuel Baek Geum-Ho Lee Myung Ho Shin Tae Min Kim Kyung-Soo Oh Seok Won Chung Transient postoperative inferior subluxation of the shoulder after surgical stabilization of recurrent anterior dislocation in a patient with myasthenia gravis: a case report Clinics in Shoulder and Elbow shoulder dislocation rotator cuff injuries myasthenia gravis joint subluxation conservative treatment |
| title | Transient postoperative inferior subluxation of the shoulder after surgical stabilization of recurrent anterior dislocation in a patient with myasthenia gravis: a case report |
| title_full | Transient postoperative inferior subluxation of the shoulder after surgical stabilization of recurrent anterior dislocation in a patient with myasthenia gravis: a case report |
| title_fullStr | Transient postoperative inferior subluxation of the shoulder after surgical stabilization of recurrent anterior dislocation in a patient with myasthenia gravis: a case report |
| title_full_unstemmed | Transient postoperative inferior subluxation of the shoulder after surgical stabilization of recurrent anterior dislocation in a patient with myasthenia gravis: a case report |
| title_short | Transient postoperative inferior subluxation of the shoulder after surgical stabilization of recurrent anterior dislocation in a patient with myasthenia gravis: a case report |
| title_sort | transient postoperative inferior subluxation of the shoulder after surgical stabilization of recurrent anterior dislocation in a patient with myasthenia gravis a case report |
| topic | shoulder dislocation rotator cuff injuries myasthenia gravis joint subluxation conservative treatment |
| url | http://www.cisejournal.org/upload/pdf/cise-2022-00794.pdf |
| work_keys_str_mv | AT samuelbaek transientpostoperativeinferiorsubluxationoftheshoulderaftersurgicalstabilizationofrecurrentanteriordislocationinapatientwithmyastheniagravisacasereport AT geumholee transientpostoperativeinferiorsubluxationoftheshoulderaftersurgicalstabilizationofrecurrentanteriordislocationinapatientwithmyastheniagravisacasereport AT myunghoshin transientpostoperativeinferiorsubluxationoftheshoulderaftersurgicalstabilizationofrecurrentanteriordislocationinapatientwithmyastheniagravisacasereport AT taeminkim transientpostoperativeinferiorsubluxationoftheshoulderaftersurgicalstabilizationofrecurrentanteriordislocationinapatientwithmyastheniagravisacasereport AT kyungsoooh transientpostoperativeinferiorsubluxationoftheshoulderaftersurgicalstabilizationofrecurrentanteriordislocationinapatientwithmyastheniagravisacasereport AT seokwonchung transientpostoperativeinferiorsubluxationoftheshoulderaftersurgicalstabilizationofrecurrentanteriordislocationinapatientwithmyastheniagravisacasereport |