T09: Glenohumeral fusion for brachial plexus injury sequelae
Surgeon: Eric WAGNER

14 h 30 min
15 h 10 min

SURGEON: Eric R. WAGNER

CHAIRMAN: Bassem T. ELHASSAN

MODERATOR: Felix H. SAVOIE

SHOULDER CASE SUMMARY:

Shoulder Left
Patient 23 y/o, Male, left-handed
Profession Industrial Maintenance Technician
History
  • 09/2023: Motorcycle accident → Brachial plexus injury (C5–C7)
  • 03/2024: Nerve surgery:
    • SSN: graft from C6
    • Axillary nerve: IC nerve transfers
    • Elbow flexion: Ulnar to biceps and Median to brachialis branches
    • Elbow extension: IC nerve to long head of triceps motor branch
  • 10/2024: Restoration of hand function:
    • Extension of wrist, fingers, and thumb via multiple tendon transfers
Physical Exam
  • 1. Good elbow and hand recovery (FM: 4/5)
  • 2. Good scapulothoracic stability and mobility
  • 3. BUT no glenohumeral active mobility and stability → NON-functional shoulder → Impossible use of the hand
Scores
VAS: 0
QuickDASH: 59
Constant: 21
ASES: 63
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