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Thangarajah T, Lambert SM. Glenohumeral arthrodesis for late reconstruction of flail shoulder in patients with traumatic supraclavicular brachial plexus palsy. Shoulder Elbow. 2017;9(4):266-271doi: 10.1177/1758573217693807.
Thangarajah, T., & Lambert, S. M. (2017). Glenohumeral arthrodesis for late reconstruction of flail shoulder in patients with traumatic supraclavicular brachial plexus palsy. Shoulder & elbow, 9(4), 266-271. https://doi.org/10.1177/1758573217693807
Thangarajah, Tanujan, and Lambert, Simon M. "Glenohumeral arthrodesis for late reconstruction of flail shoulder in patients with traumatic supraclavicular brachial plexus palsy." Shoulder & elbow vol. 9,4 (2017): 266-271. doi: https://doi.org/10.1177/1758573217693807
Thangarajah T, Lambert SM. Glenohumeral arthrodesis for late reconstruction of flail shoulder in patients with traumatic supraclavicular brachial plexus palsy. Shoulder Elbow. 2017 Oct;9(4):266-271. doi: 10.1177/1758573217693807. Epub 2017 Feb 13. PMID: 28932283; PMCID: PMC5598819.
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Shoulder Elbow. 2017 Oct;9(4):266-271. doi: 10.1177/1758573217693807. Epub 2017 Feb 13.

Glenohumeral arthrodesis for late reconstruction of flail shoulder in patients with traumatic supraclavicular brachial plexus palsy.

Shoulder & elbow

Tanujan Thangarajah, Simon M Lambert

Affiliations

  1. The Shoulder and Elbow Service, The Royal National Orthopaedic Hospital, Stanmore, UK.

PMID: 28932283 PMCID: PMC5598819 DOI: 10.1177/1758573217693807

Abstract

BACKGROUND: Flail shoulder can occur following a brachial plexus injury and is characterized by painful subluxation of the glenohumeral joint and the inability to independently position the hand in space. The present study aimed to report the clinical outcomes following glenohumeral arthrodesis for late reconstruction of flail shoulder in patients with traumatic supraclavicular brachial plexus palsy.

METHODS: Seven patients were included in the present study and were followed-up for a mean of 98 months (range 27 months to 197 months). The mean age at the time of surgery was 48 years (range 28 years to 80 years) and the mean time to surgery from injury was 5 years (range 2.5 years to 8 years).

RESULTS: Six patients achieved bony union with a mean time to fusion of 4.7 months (range 2 months to 8 months). Non-union occurred in one case. The mean Oxford Shoulder Score improved from 11 pre-operatively (range 4 to 16) to 27 postoperatively (range 16 to 40) (

CONCLUSIONS: In our series, glenohumeral arthrodesis was associated with few complications, and effectively reduced pain and improved functional outcome in this selected patient population.

Keywords: arthrodesis; brachial plexus; flail shoulder; fusion; shoulder; supraclavicular

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