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Upper Extremity Dysfunction After Prior Procedures

July 26, 2021

This case comes from Dr. Mark Frankle. This is a 76 year-old female presenting with right upper extremity pain and dysfunction after multiple prior procedures. Concerns include soft tissue loss, lack of rotator cuff function, and detachment and likely loss of the deltoid muscles. Images are below. What are the options?

Case Presentation

Case Responses (awaiting responses)

Axillary Palsy After Dislocation

July 14, 2021

This case comes from Dr. Ruth Delaney. This is a 65 year-old male with longstanding (5 years) axillary palsy after dislocation, completely atrophied deltoid, and a massive irreparable tear involving supra, infra, and subscap with almost complete "white out" of those muscles as well as of teres minor on the T1 sagittal sequences. Video examination is below. What are his options?

Case Presentation

Case Responses (awaiting responses)

Spinal Accessory Nerve Palsy

May 10, 2021

This case comes from Dr. Robert Arciero. This is a 20 year-old female lacrosse player with an 11-month history of spinal accessory nerve palsy.  Video examination is below. What are her options?

Case Presentation

Case Responses

Chronic Osteomyelitis of Proximal Humerus

April 30, 2021

This case comes from Dr. Ed Yian. The question is what to do by way of surgical management in a patient with chronic and extensive osteomyelitis of the entire proximal humerus (ms staph aureus).

Case Presentation

Case Responses 

Lipoma of the Supraspinatus

July 30, 2020

This case comes from Dr. Moustafa Hafez. This is a 51 year-old male who complains of pain in the anterior and middle aspects of the left non-dominant shoulder 1 month after using his arm to push something laterally in abd ER position. Pain is 4-5/10 and increases to 6 at night, radiating to the left arm. Associated with weak and painful elevation and painful depressing of the arm.

Case Presentation

Case Responses

Left Shoulder Pain and Weakness

November 25, 2019

This patient presented to clinic with left shoulder pain and weakness. He has a complex left shoulder history listed in the case presentation. What are his options?

Case Presentation

Case Responses

Proximal Humerus Avascular Necrosis

April 3, 2019

Patient presents with right proximal humerus avascular necrosis (AVN) following a history of left proximal humerus AVN. The patient and her family are concerned regarding the etiology of her multi-joint AVN, and want to find a specialist with a particular interest in AVN. What are her options?

Case Presentation

Case Responses

Isolated Myotendinous Rupture of the Long Head of the Biceps

March 26, 2019

A "World's Strongest Man" competitor presents to clinic with a proximal biceps rupture after lifting a 420 pound atlas stone in a qualifying competition. Given the limited number of similar examples found in the literature, what are his options? 

Case Presentation

Case Responses