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Adult Reconstruction
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Shoulder Arthrodesis - Fusion Position and Indications

Shoulder Arthrodesis

A 32-year-old male presents 18 months after a motorcycle accident with persistent flail shoulder. He sustained a C5-C7 brachial plexus injury with complete denervation of deltoid and rotator cuff muscles. EMG confirms no reinnervation. He has good scapulothoracic motion and preserved serratus anterior function. He works as a carpenter and wishes to regain functional use of his arm. Regarding shoulder arthrodesis for brachial plexus injury:

Mark each as TRUE or FALSE

A

The classic fusion position for shoulder arthrodesis is 20-30° abduction, 20-30° flexion, and 25-40°...

B

Indications for shoulder arthrodesis include irreparable brachial plexus injury with flail shoulder,...

C

Shoulder arthrodesis should be performed in 90° abduction to maximize overhead reach; scapulothoraci...

D

Prerequisites for successful shoulder arthrodesis include intact scapulothoracic motion (particularl...

E

Surgical techniques include plate fixation, intramedullary devices, and external fixation; complicat...

Answer the questions to see explanations

Click T (True) or F (False) for each option