Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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Acute Rotator Cuff Tears due to Low Voltage Electrical Injury: A Case Report

  • Yoo, Jae Hyun (Department of Orthopaedic Surgery, Goodmorning Orthopaedic Hospital) ;
  • Rhee, Sung-Min (Department of Orthopaedic Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine) ;
  • Shim, Ho Yong (Department of Physical Medicine and Rehabilitation, Cleansu Hospital) ;
  • Lee, Jae Sung (Department of Orthopaedic Surgery, Chung-Ang University College of Medicine)
  • Received : 2018.03.10
  • Accepted : 2018.04.05
  • Published : 2018.06.01
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Abstract

Since shoulder have a higher proportion of muscle which would have low electrical resistance, there could be more electrical damage to the rotator cuff muscles. We present a patient with acute rotator cuff tear by sudden uncontrolled jerking contractions caused by an electrical shock. A case of 42-year-old man with acute rotator cuff tear due to electrical injury to the shoulder was presented. Magnetic resonance imaging showed a full thickness tear and an undulating appearance of the peripheral end of the torn supraspinatus and infraspinatus muscle, suggesting an acute complete rupture. By arthroscopic surgery, the torn rotator cuff tendons were repaired with a suture bridge technique. At the final follow-up, the patient had a full, pain-free range of motion and had fully recovered shoulder muscle power.

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References

  1. Benmeir P, Lusthaus S, Ad-El D, et al. Very deep burns of the hand due to low voltage electrical laboratory equipment: a potential hazard for scientists. Burns. 1993;19(5):450-1. https://doi.org/10.1016/0305-4179(93)90075-J
  2. Sokhal AK, Lodha KG, Kumari M, Paliwal R, Gothwal S. Clinical spectrum of electrical burns: a prospective study from the developing world. Burns. 2017;43(1):182-9. https://doi.org/10.1016/j.burns.2016.07.019
  3. Germann G. Hand reconstruction after burn injury: functional results. Clin Plast Surg. 2017;44(4):833-44. https://doi.org/10.1016/j.cps.2017.05.015
  4. Ketenci IE, Duymus TM, Ulusoy A, Yanik HS, Mutlu S, Durakbasa MO. Bilateral posterior shoulder dislocation after electrical shock: a case report. Ann Med Surg (Lond). 2015;4(4):417-21. https://doi.org/10.1016/j.amsu.2015.10.010
  5. Beswick DR, Morse SD, Barnes AU. Bilateral scapular fractures from low-voltage electrical injury. Ann Emerg Med. 1982;11(12):676-7. https://doi.org/10.1016/S0196-0644(82)80264-3
  6. Hantes ME, Karidakis GK, Vlychou M, Varitimidis S, Dailiana Z, Malizos KN. A comparison of early versus delayed repair of traumatic rotator cuff tears. Knee Surg Sports Traumatol Arthrosc. 2011;19(10):1766-70. https://doi.org/10.1007/s00167-011-1396-1
  7. Mall NA, Lee AS, Chahal J, et al. An evidenced-based examination of the epidemiology and outcomes of traumatic rotator cuff tears. Arthroscopy. 2013;29(2):366-76. https://doi.org/10.1016/j.arthro.2012.06.024
  8. Ji JH, Kim SJ, Kim WY, Lee YS, Ra KH. Subscapularis tendon tear after an electrical burn: a case report. J Shoulder Elbow Surg. 2008;17(2):e16-8. https://doi.org/10.1016/j.jse.2007.04.013
  9. Loew M, Magosch P, Lichtenberg S, Habermeyer P, Porschke F. How to discriminate between acute traumatic and chronic degenerative rotator cuff lesions: an analysis of specific criteria on radiography and magnetic resonance imaging. J Shoulder Elbow Surg. 2015;24(11):1685-93. https://doi.org/10.1016/j.jse.2015.06.005
  10. Parvathy G, Shaji CV, Kabeer KA, Prasanth SR. High-voltage electrocution causing bulbar dysfunction. J Neurosci Rural Pract. 2016;7(3):453-5. https://doi.org/10.4103/0976-3147.181479