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The Journal of Bone and Joint Surgery 78:103-5 (1996)
© 1996 The Journal of Bone and Joint Surgery, Inc.

Septic Arthritis Associated with Brachial Plexus Neuropathy. A Case Report*

SHARI R. GABRIEL, M.D.{dagger}, JOHN G. THOMETZ, M.D.{ddagger} and SAFWAN JARADEH, M.D.{ddagger}, MILWAUKEE, WISCONSIN

Investigation performed at the Medical College of Wisconsin, Milwaukee


   Introduction
 
Pseudoparalysis or apparent weakness of a limb associated with septic arthritis or osteomyelitis is a well documented phenomenon. Muscular spasm associated with pain caused by the infection can lead to the apparent weakness. In contrast, true nerve paralysis associated with osteomyelitis is uncommon, and documentation of the electromyographic changes is rare. We describe a five-week-old male infant who had a brachial plexus neuropathy and paralysis of the right upper extremity secondary to septic arthritis of the glenohumeral joint and osteomyelitis of the proximal part of the humerus.


   Case Report
 
A male infant was delivered by cesarean section after thirty-six weeks of gestation to a primiparous thirty-five-year-old woman. No problems with the use of the upper extremities were noted at birth. At the age of three weeks, the infant had projectile vomiting and was admitted to the hospital for the operative correction of pyloric stenosis. The hospital course was uneventful, and he was . . . [Full Text of this Article]


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