Severe Heterotopic Ossification with Proximal Entrapment of the Ulnar Nerve following Primary Anterior Shoulder Dislocation. (6th October 2020)

• Record Type: Journal Article
• Authors: Jessen, Malik; Gerhardt, Christian; Lehmann, Lars-Johannes; Schmalzl, Jonas
• Other Names: Kolb Werner Academic Editor.
• Is Part Of: Case reports in orthopedics. Volume 2020(2020)
• Publication Date: 2020-10-06
• Subjects: Orthopedics -- Periodicals; Orthopedics; Orthopedics; Periodicals; Electronic journals; Periodicals; 616.7
• DOI: 10.1155/2020/8883758
• Languages: English
• ISSNs: 2090-6749

Abstract

Abstract : Heterotopic ossifications (HO) in the shoulder are rare. The effectiveness of conservative treatment is limited, and therefore, symptomatic cases are usually treated surgically. However, there are no guidelines for the surgical treatment of HO. Herein, we report the case of a 45-year-old man with severe HO and proximal entrapment of the ulnar nerve following primary anterior shoulder dislocation without concomitant injuries (e.g., fracture and rotator cuff tears). Surgical intervention was indicated, including resection of HO and neurolysis of the brachial plexus. Nine months after surgery, the patient presented with restored shoulder function, pain relief, and good patient satisfaction. The case shows that the ulnar nerve can also be impaired due to HO following shoulder dislocation.