Andres De la Espriella Rosales
Kaizen Medical Care, ColombiaTitle: Decompression of axillary nerve branch of the teres minor muscle. Report of two cases
Abstract
Introduction: Comprehensive
pathology of the axillary nerve branch to the teres minor muscle comprises
clinical symptoms that include: posterior shoulder pain, weakness of external
rotation in abduction (Hornblower position), isolated atrophy of the teres
minor on MRIor ultrasound, and/or isolated involvement of the teres minor on
EMG. There are very few studies that talk about the incidence, because it is a
little diagnosed clinical condition. Teres minor atrophy is found in 0.8% of
all shoulder MRls.
Presentation of the case: A
59-year-old woman (Patient 1) and a 44-year-old man (Patient 2) who had in
common the presence of chronic (more than a year) and intense pain (8/1O score)
in their right shoulder (dominant limb in both cases) that had worsened in
recent months and which was refractory to oral medications and physical
therapies. None of the patients had a traumatic history and also reported
increased pain with external rotation movements against resistance, active
limitation in the last degrees of internal rotation due to pain, and
irradiation of pain to the arm and posterior scapular region.
Conclusion: The surgical
procedure improves the external rotation deficit and the functionality of the
shoulder. The patients manifested marked improvement in shoulder and scapula
pain, a symptom that generates more affectation in the quality of life and in
the development of daily activities of these patients.
Biography
Andres De la Espriella is a
medical doctor who graduated from Universidad Del Norte and Militar Hospital
Center in Colombia. He also serves as a Colombian Air Force reservist doctor.
Dr. De la Espriella furthered his medical career by becoming an orthopedic
surgeon, completing his training at São Paulo University in Brazil. He holds
specializations in shoulder surgery and sports medicine, which he acquired
during a fellowship at Hospital Italiano in Buenos Aires, Argentina. Dr. De la
Espriella has also pursued additional studies in shoulder replacement,
specifically at San Antonio, Texas University. He is the founder of the Kaizen
Medical Care traumatology center in Barranquilla, Colombia, where he has
performed over 2,000 shoulder procedures. His work has been recognized through
numerous international orthopedics publications. He is an active member of the
Latinoamerica Shoulder and Elbow Society, the Colombian Orthopedic and
Traumatology Society, and the International Shockwave Society. Dr. De la Espriella
is an international congress speaker on topics related to shoulder and sports
pathology, where he shares his extensive knowledge and expertise.