ArticleJournal of orthopaedic case reports2026
Shoulder Injuries Secondary to Proning: Sequelae of Long COVID Syndrome: A Case Report.
Article in Journal of orthopaedic case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Prolonged proning is widely used in the management of severe acute respiratory distress syndrome (ARDS), most notably during the COVID-19 pandemic. Although brachial plexus injuries are recognized complications, structural shoulder injuries remain rarely reported. Case Report: We report a case of a patient who developed a glenoid fracture and persistent shoulder dysfunction following prolonged proning for COVID-19-related ARDS. Clinical assessment, radiological findings, and management strategies are detailed. Discussion: This case highlights unique mechanical and physiological risk factors for structural shoulder injury during proning, including obesity, diabetic neuropathy, prolonged intensive care unit stay, and positioningrelated stress. Conclusion: Structural glenohumeral injuries should be considered in patients presenting persistent shoulder dysfunction after prolonged proning. Awareness and preventive positioning strategies are essential.
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