Spikeball Palsy

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Spikeball Palsy - Page #3

Lab Studies: None Other Studies: X-ray of the right shoulder (Neutral, Grashey, trans-scapular Y, and axillary views) showed no acute fracture or dislocation of the right shoulder. A small rounded sclerotic lesion projecting within the right glenoid was noted, likely a bone island. Case Photo #1 MRI without contrast of the chest with focus on the brachial plexus showed a subacute right first rib fracture with remodeling and surrounding edema involving the inferior aspects of the brachial plexus in the region of the brachial plexus divisions as it courses by the fracture. No denervation edema or discontinuity of the nerves was identified. Case Photo #2 Case Photo #3 Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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