Journal article
Neurovascular Compression After the Latarjet Procedure
Orthopedics (Thorofare, N.J.), Vol.38(12), pp.E1164-E1168
12/01/2015
DOI: 10.3928/01477447-20151123-09
PMID: 26652341
Abstract
The Latarjet procedure is an established and effective option for the treatment of recurrent anterior shoulder instability. Symptomatic compression of the vasculature around the shoulder and adjacent brachial plexus is uncommon and may be difficult to diagnose and treat. The purpose of this report is to describe a patient with neurovascular compression of the axillary artery and brachial plexus after an open Latarjet procedure. This is the first known report of documented combined vascular and neurologic thoracic outlet syndrome after a Latarjet procedure. Evaluation of this suspected problem requires a detailed clinical examination and a dynamic angiogram to verify which neurovascular structures are compressed. Treatment includes decompression of the brachial plexus and axillary vasculature by releasing tethering scar tissue or the remaining pectoralis minor that is creating a constricting sling effect. An arthroscopic approach provides for a careful and specific decompression. Additionally, the authors provide a review of the literature for neurologic complications and management for these complications.
Details
- Title: Subtitle
- Neurovascular Compression After the Latarjet Procedure
- Creators
- Joseph W. Galvin - Madigan Army Med Ctr, 9040 Fitzsimmons Dr, Tacoma, WA 98431 USAJames R. Romanowski - Charlotte Shoulder Inst, Charlotte, NC USARobert E. Boykin - Blue Ridge Bone & Joint Clin, Asheville, NC USAJosef K. Eichinger - Madigan Army Med Ctr, 9040 Fitzsimmons Dr, Tacoma, WA 98431 USALaurent Lafosse - Clin Gen, Alps Surg Inst, Annecy, France
- Resource Type
- Journal article
- Publication Details
- Orthopedics (Thorofare, N.J.), Vol.38(12), pp.E1164-E1168
- Publisher
- Slack Inc
- DOI
- 10.3928/01477447-20151123-09
- PMID
- 26652341
- ISSN
- 0147-7447
- eISSN
- 1938-2367
- Number of pages
- 5
- Language
- English
- Date published
- 12/01/2015
- Academic Unit
- Orthopedics and Rehabilitation
- Record Identifier
- 9984618521902771
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