Perioperative Botulinum Toxin A in the Surgical Management of Seizure-Related Shoulder Instability: A Case Report.
JBJS Case Connect
; 11(4)2021 11 11.
Article
en En
| MEDLINE
| ID: mdl-34762613
ABSTRACT
CASE A 20-year-old woman presented with recurrent bilateral shoulder instability concurrent with severe, treatment-refractory epilepsy. Imaging revealed glenoid bone loss of 25% to 28% and large Hill-Sachs defects bilaterally. Bone graft augmentation of the glenoid and infill of the Hill-Sachs defects was performed bilaterally. Perioperative neuromuscular paralysis of shoulder girdle muscles with botulinum toxin was performed to facilitate recovery. Both shoulders at 2.5 and 4 years, respectively, demonstrate excellent stability and radiographic union despite continued seizure activity. CONCLUSION:
Perioperative neuromuscular paralysis with botulinum toxin may provide early graft protection after the surgical treatment of glenohumeral instability because of seizures.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Luxación del Hombro
/
Articulación del Hombro
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Toxinas Botulínicas Tipo A
/
Inestabilidad de la Articulación
Tipo de estudio:
Etiology_studies
Límite:
Adult
/
Female
/
Humans
Idioma:
En
Año:
2021
Tipo del documento:
Article