Isolated Musculocutaneous Nerve Palsy after the Reverse Total Shoulder Arthroplasty

Kim,  Sung Guk; Choi,  Chang Hyuk

doi:2016.19.2.101

Clin Shoulder Elb > Volume 19(2); 2016 > Article

Case Report

Clinics in Shoulder and Elbow 2016;19(2):101-104.
DOI: https://doi.org/10.5397/cise.2016.19.2.101 Published online June 30, 2016.

Isolated Musculocutaneous Nerve Palsy after the Reverse Total Shoulder Arthroplasty

Sung Guk Kim, Chang Hyuk Choi

Department of Orthopaedic Surgery, Daegu Catholic University Medical Center, Daegu, Korea. p10001@hanmail.net

Received: 28 October 2015 • Revised: 24 February 2016 • Accepted: 20 March 2016

Abstract

Reverse total shoulder arthroplasty has been performed with promising results in rotator cuff tear arthropathy. However, the global complication of the reverse total shoulder arthroplasty is relatively higher than that of the conventional total shoulder arthroplasty. Neurologic complications after reverse total shoulder arthroplasty are rare but there are sometimes remaining sequelae. The cause of the neurologic complication is multifactorial, including arm traction, position and the design of the implant. Most cases of neurologic palsy following reverse total shoulder arthroplasty occur in the axillary nerve and the radial nerve. The authors report on a case of a 71-year-old man with isolated musculocutaneous nerve palsy after reveres total shoulder arthroplasty with related literature.

Key Words: Rotator cuff arthropathy; Musculocutaneous nerve palsy; Reverse total shoulder arthroplasty