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Neural injury following traumatic anterior shoulder dislocation
In this study I reviewed 28 patients with brachial plexus lesions caused by shoulder dislocation. As far as can be established, this is the largest series reviewed in the literature to date. Contrary to most other reports, the neurological lesions involved the supraclavicular as well as the infracla...
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| Format: | Thesis |
| Language: | English |
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Department of Health and Rehabilitation Sciences
2017
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| _version_ | 1867613152177291264 |
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| access_status_str | Open Access |
| author | Travlos, John |
| author2 | Heywood, A W B |
| author_browse | Heywood, A W B Travlos, John |
| author_facet | Heywood, A W B Travlos, John |
| author_sort | Travlos, John |
| collection | Thesis |
| description | In this study I reviewed 28 patients with brachial plexus lesions caused by shoulder dislocation. As far as can be established, this is the largest series reviewed in the literature to date. Contrary to most other reports, the neurological lesions involved the supraclavicular as well as the infraclavicular brachial plexus. The only part of the supraclavicular brachial plexus affected was the suprascapular nerve, and this always recovered spontaneously. Isolated axillary nerve lesions were found to have the poorest prognosis for spontaneous nerve recovery. All lesions that showed no recovery after 3 - 5 months were explored and had either a graft or a neurolysis. This study discusses the combinations of nerve lesions, their recovery and the indications for surgical intervention. I also suggest a classification perhaps more clinically relevant than the anatomical classification of Leffert and Seddon (1965). |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/26247 |
| institution | University of Cape Town (South Africa) |
| language | eng |
| last_indexed | 2026-06-10T12:31:35.974Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2017 |
| publishDateRange | 2017 |
| publishDateSort | 2017 |
| publisher | Department of Health and Rehabilitation Sciences |
| publisherStr | Department of Health and Rehabilitation Sciences |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/26247 Neural injury following traumatic anterior shoulder dislocation Travlos, John Heywood, A W B Boome, R S Goldschmidt, R B Brachial plexus - wounds and injuries Shoulder joint - Dislocation Brachial Plexus - injuries Shoulder dislocation - complications In this study I reviewed 28 patients with brachial plexus lesions caused by shoulder dislocation. As far as can be established, this is the largest series reviewed in the literature to date. Contrary to most other reports, the neurological lesions involved the supraclavicular as well as the infraclavicular brachial plexus. The only part of the supraclavicular brachial plexus affected was the suprascapular nerve, and this always recovered spontaneously. Isolated axillary nerve lesions were found to have the poorest prognosis for spontaneous nerve recovery. All lesions that showed no recovery after 3 - 5 months were explored and had either a graft or a neurolysis. This study discusses the combinations of nerve lesions, their recovery and the indications for surgical intervention. I also suggest a classification perhaps more clinically relevant than the anatomical classification of Leffert and Seddon (1965). 2017-11-15T07:16:22Z 2017-11-15T07:16:22Z 1989 2017-03-30T14:20:12Z Master Thesis Masters MMed http://hdl.handle.net/11427/26247 eng application/pdf Department of Health and Rehabilitation Sciences Faculty of Health Sciences University of Cape Town |
| spellingShingle | Brachial plexus - wounds and injuries Shoulder joint - Dislocation Brachial Plexus - injuries Shoulder dislocation - complications Travlos, John Neural injury following traumatic anterior shoulder dislocation |
| thesis_degree_str | Master's |
| title | Neural injury following traumatic anterior shoulder dislocation |
| title_full | Neural injury following traumatic anterior shoulder dislocation |
| title_fullStr | Neural injury following traumatic anterior shoulder dislocation |
| title_full_unstemmed | Neural injury following traumatic anterior shoulder dislocation |
| title_short | Neural injury following traumatic anterior shoulder dislocation |
| title_sort | neural injury following traumatic anterior shoulder dislocation |
| topic | Brachial plexus - wounds and injuries Shoulder joint - Dislocation Brachial Plexus - injuries Shoulder dislocation - complications |
| url | http://hdl.handle.net/11427/26247 |
| work_keys_str_mv | AT travlosjohn neuralinjuryfollowingtraumaticanteriorshoulderdislocation |