Atraumatic Dislocation After Arthroscopic Capsular Release in a Patient With Pseudocholinesterase Deficiency

Authors

John Tyler, From the Department of Orthopedics, Carthage Area Hospital, Carthage, NY (Mr. Tyler, Dr. Gordon, Mr. Kieb, and Dr. Parnes); the Department of Orthopedics, Claxton-Hepburn Medical Center, Ogdensburg, NY (Mr. Tyler, Mr. Kieb, and Dr. Parnes); the George Washington University School of Medicine, Washington, DC (Ms. Green); and the Midwest Orthopaedics at Rush University Medical Center, Chicago, IL (Dr. Scanaliato).
Clare K. Green
John P. Scanaliato
Michael Gordon
Steven Kieb
Nata Parnes

Document Type

Journal Article

Publication Date

4-1-2025

Journal

Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews

Volume

9

Issue

4

Abstract

A 68-year-old woman underwent arthroscopic capsular release and manipulation under general anesthesia for adhesive capsulitis. Six hours postoperatively, she suffered an anterior glenohumeral joint dislocation with passive forward flexion while working with physical therapy. Postoperative workup revealed pseudocholinesterase deficiency. Pseudocholinesterase deficiency may increase the risk of atraumatic glenohumeral dislocation in the immediate postoperative period. Caution should be taken concerning early physical therapy in these patients to minimize the risk of dislocation.

APA Citation

Tyler, John; Green, Clare K.; Scanaliato, John P.; Gordon, Michael; Kieb, Steven; and Parnes, Nata, "Atraumatic Dislocation After Arthroscopic Capsular Release in a Patient With Pseudocholinesterase Deficiency" (2025). GW Authored Works. Paper 7044.
https://hsrc.himmelfarb.gwu.edu/gwhpubs/7044

Department

School of Medicine and Health Sciences Student Works