- Sudden paralyzing pain & weakness in the arm in young athletes with GHJ instability
- Transient subluxation in elevation & external rotation
- Often misdiagnosed as other shoulder pathology or cervical lesion
Classification
- Two categories
- Aware of subluxation
- Unaware of subluxation
Rowe’s Series
- Positive Apprehension Test & History of trauma
- 64% Bankartlesion
- Management
- Responded well to surgical stabilization
Leffert 1987
- Relationship between Dead Arm Syndrome & Thoracic Outlet Syndrome
- 30% of patients had coexistent TOS
- Due to altered kinetics of the Scapulothoracic Joint
- Resultant neurovascular compromise
- That made DAS symptoms more florid
- All patients had transient radial pulse obliteration
- In shoulder external rotation & abduction
- Therapy
- aimed toward restoration of GHJ stability
- Advanced cases may require surgical NV decompression