-
Reg Anesth Pain Med · May 2000
Case ReportsComplete brachial plexus palsy after total shoulder arthroplasty done with interscalene block anesthesia.
- J S Walton, J W Folk, R J Friedman, and B H Dorman.
- Department of Anesthesia & Perioperative Medicine, Medical University of South Carolina, Children's Hospital, Charleston 29455, USA.
- Reg Anesth Pain Med. 2000 May 1; 25 (3): 318-21.
Background And ObjectivesThis report illustrates that brachial plexus palsy can result from either interscalene block or total shoulder arthroplasty. It is often impossible to determine which procedure caused the deficit; therefore, we believe the focus should be placed on treatment of the neurologic deficit. This report provides a suggested algorithm for diagnosis and treatment of postprocedure brachial plexus palsy.MethodsInterscalene block was used as the operative anesthetic for our patient's total shoulder arthroplasty. Complete brachial plexus palsy was diagnosed postoperatively.ResultsThe patient's postoperative treatment and recovery are described.ConclusionsProper diagnosis and treatment of postprocedure brachial plexus palsy may improve recovery of function. Several precautions may reduce the likelihood of brachial plexus palsy following interscalene block for total shoulder arthroplasty.
Notes
Knowledge, pearl, summary or comment to share?You can also include formatting, links, images and footnotes in your notes
- Simple formatting can be added to notes, such as
*italics*,_underline_or**bold**. - Superscript can be denoted by
<sup>text</sup>and subscript<sub>text</sub>. - Numbered or bulleted lists can be created using either numbered lines
1. 2. 3., hyphens-or asterisks*. - Links can be included with:
[my link to pubmed](http://pubmed.com) - Images can be included with:
 - For footnotes use
[^1](This is a footnote.)inline. - Or use an inline reference
[^1]to refer to a longer footnote elseweher in the document[^1]: This is a long footnote..