Isolated radial nerve injury following anterior shoulder dis
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We describe a 74-year-old female patient who presented with an anterior dislocation of the right shoulder due to a fall on an outstretched hand. On examination, there was a profound wrist drop with loss of sensation over the superficial radial nerve distribution, indicating complete radial nerve palsy. A closed reduction of the shoulder was performed. Electromyography at 6 weeks demonstrated severe motor neuropathy in the motor distribution of the radial nerve. Physiotherapy was commenced at 6 weeks and at latest follow-up there was no evidence of recovery of the motor branch of the radial nerve clinically, however, the superficial radial nerve sensation had returned to normal. There was no change in outcome after 1-year follow-up. Although rare, shoulder dislocations associated with isolated radial nerve palsy should be considered and identified at presentation. Nerve injuries with shoulder dislocations require clear documentation pre and post reduction as this may have significant implications for management and reduction in morbidity.

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