Dear Jean-Bernard:
Dislocation of the shoulder may result in nerve damage at several
locations. A specific vertebral level (in my experience) is less
likely than brachial plexus or peripheral nerve injury. For
example, you describe something that may correspond to a radial
nerve distribution which receives fibres from C5-T1. Depending on
the location of the nerve damage and the level of pain, sensory
tests, nerve conduction studies, and quantitative muscle testing
can assist in determining the significance of the injury nerve.
Good luck.
Murray
>
>
> Dear physios,
>
> I have a difficult case and I would appreciate any feedback.
>
> My patient has a C-7 radiculapothy secondary to anterior dislocation of the
> right shoulder. Patient was experiencing complete paralysis of the elbow and
> wrist extensors. Now, she is reporting constant parasthesias down arm and
> fore arm. Is it a common pathology? What would be the prognosis? What could
> we do to promote the recovery of the serious nerve damage??
>
> Your input would be appreciated. Thank you and I look forward to your
> responses.
>
> Jean-Bernard Borthaire RPT
>
--
________________________________________________________________
Murray Maitland PhD PT
Associate Professor and Physical Therapist
Faculty of Kinesiology
Sport Medicine Centre
University of Calgary
2500 University Drive NW
Calgary, Alberta
T2N 1N4
(403) 220-8943 office
(403) 220-8232 clinic
(403) 282-6170 fax
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