1
|
Pasache-Lozano R, Valencia-Ramon EA, Trenholm JAI, Johnston DG. Unexpected complication after reverse shoulder arthroplasty: Brachial artery pseudoaneurysm: A case report. Shoulder Elbow 2023; 15:105-109. [PMID: 37974638 PMCID: PMC10649514 DOI: 10.1177/17585732221077968] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/06/2021] [Revised: 01/07/2022] [Accepted: 01/13/2022] [Indexed: 11/19/2023]
Abstract
Pseudoaneurysm should be acknowledged as a possible but infrequent postoperative complication after shoulder arthroplasty which could be easily misdiagnosed. It is important that the upper-extremity surgeon suspects this problem in the follow-up assessment for appropriate management. In this paper, we present an unusual case of brachial artery pseudoaneurysm in the early postoperative period after reverse shoulder arthroplasty.
Collapse
Affiliation(s)
- Rocio Pasache-Lozano
- Upper extremity orthopaedic fellow, Orthopaedic Surgery, Queen Elizabeth II Health Sciences Center, Halifax Infirmary (Room 4879), 1796 Summer Street, Halifax, Nova Scotia, Canada B3H 3A7
| | - Edwin A Valencia-Ramon
- Upper extremity orthopaedic fellow, Orthopaedic Surgery, Queen Elizabeth II Health Sciences Center, Halifax Infirmary (Room 4879), 1796 Summer Street, Halifax, Nova Scotia, Canada B3H 3A7
| | - J Andrew I Trenholm
- Orthopaedic Upper Limb and trauma surgery, Queen Elizabeth II Health Sciences Center, Halifax Infirmary (Room 4510), 1796 Summer Street, Halifax, Nova Scotia, Canada B3H 3A7
| | - David G Johnston
- Orthopaedic Upper Limb and Hand Surgery, Queen Elizabeth II Health Sciences Center, Halifax Infirmary (Room 4855), 1796 Summer Street, Halifax, Nova Scotia, Canada B3H 3A7
| |
Collapse
|
2
|
Talbot NC, D'Antoni JV, Soileau LG, Storey NR, Fakoya A. Unusual Origin of the Posterior Circumflex Humeral Artery: A Case Report. Cureus 2023; 15:e36316. [PMID: 37077595 PMCID: PMC10106536 DOI: 10.7759/cureus.36316] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/17/2023] [Indexed: 03/20/2023] Open
Abstract
Prior knowledge of possible variations in human anatomy is essential for basic medical and clinical training. Many surgeons can avoid uncharacteristic situations by having sources and availability of resources that document potential irregularities in human anatomy. In this case, a human cadaver is identified as having an altered origin of the posterior circumflex humeral artery (PCHA). While it usually stems from the axillary artery, this cadaver had a left-sided PCHA originating from the subscapular artery (SSA) and continuing into the quadrangular space. This irregularity of the PCHA from the SSA is not commonly discussed in the literature. Physicians and anatomists need to be fully aware of this possibility and be prepared for any unexpected differences in anatomy during procedures.
Collapse
|
3
|
Mantilla J, Wang D, Bargiotas I, Wang J, Cao J, Oudre L, Vidal PP. Motor style at rest and during locomotion in human. J Neurophysiol 2020; 123:2269-2284. [PMID: 32319842 DOI: 10.1152/jn.00019.2019] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
Humans exhibit various motor styles that reflect their intra- and interindividual variability when implementing sensorimotor transformations. This opens important questions, such as, At what point should they be readjusted to maintain optimal motor control? Do changes in motor style reveal the onset of a pathological process and can these changes help rehabilitation and recovery? To further investigate the concept of motor style, tests were carried out to quantify posture at rest and motor control in 18 healthy subjects under four conditions: walking at three velocities (comfortable walking, walking at 4 km/h, and race walking) and running at maximum velocity. The results suggest that motor control can be conveniently decomposed into a static component (a stable configuration of the head and column with respect to the gravitational vertical) and dynamic components (head, trunk, and limb movements) in humans, as in quadrupeds, and both at rest and during locomotion. These skeletal configurations provide static markers to quantify the motor style of individuals because they exhibit large variability among subjects. Also, using four measurements (jerk, root mean square, sample entropy, and the two-thirds power law), it was shown that the dynamics were variable at both intra- and interindividual levels during locomotion. Variability increased following a head-to -toe gradient. These findings led us to select dynamic markers that could define, together with static markers, the motor style of a subject. Finally, our results support the view that postural and motor control are subserved by different neuronal networks in frontal, sagittal, and transversal planes.NEW & NOTEWORTHY During human locomotion, motor control can be conveniently decomposed into a static and dynamic components. Variable dynamics were observed at both the intra- and interindividual levels during locomotion. Variability increased following a head-to-toe gradient. Finally, our results support the view that postural and motor control are subserved by different neuronal networks in the frontal, sagittal, and transversal planes.
Collapse
Affiliation(s)
- Juan Mantilla
- Université de Paris, CNRS, SSA, École Normale Supérieure Paris-Saclay, Centre Borelli, Paris, France
| | - Danping Wang
- Institute of Information and Control, Hangzhou Dianzi University, Hangzhou, China.,Plateforme Sensorimotricité, CNRS, INSERM, Paris, France
| | - Ioannis Bargiotas
- Université de Paris, CNRS, SSA, École Normale Supérieure Paris-Saclay, Centre Borelli, Paris, France
| | - Junhong Wang
- Institute of Information and Control, Hangzhou Dianzi University, Hangzhou, China
| | - Jiuwen Cao
- Institute of Information and Control, Hangzhou Dianzi University, Hangzhou, China
| | - Laurent Oudre
- L2TI, Sorbonne Paris Nord University, Villetaneuse, France
| | - Pierre-Paul Vidal
- Université de Paris, CNRS, SSA, École Normale Supérieure Paris-Saclay, Centre Borelli, Paris, France.,Institute of Information and Control, Hangzhou Dianzi University, Hangzhou, China
| |
Collapse
|