کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4072739 1410888 2016 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Mixed neuropathy presenting clinically as an anterior interosseous nerve palsy following shoulder arthroscopy: a report of four cases
ترجمه فارسی عنوان
نوروپاتی مختلط که به صورت بالینی به عنوان فلج عصب بینهایت قدامی قدام بعد از آرتروسکوپی شانه ارائه شده است: گزارش چهار مورد
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی ارتوپدی، پزشکی ورزشی و توانبخشی
چکیده انگلیسی

BackgroundAnterior interosseous nerve (AIN) palsies can arise spontaneously or be attributed to one of many causes. We present 4 cases, the largest series to date, in which a mixed peripheral neuropathy presented primarily as an AIN palsy following ipsilateral shoulder arthroscopy. In this report, we detail the patient's presenting symptoms, describe our management of the complication, and provide hypotheses for the mechanism behind the complication.MethodsFour different surgeons performed the initial arthroscopic surgeries, but the senior author in all cases managed follow-up and treatment of the neuropathy. All patients were informed and agreed to have their cases published.ResultsAll four patients experienced significant recovery, although 2 of 4 required AIN decompression and exploration because of failure to improve with conservative management.ConclusionWhereas variables such as position, index surgical procedure, and use of regional anesthesia varied among our patients, the one constant was the fluid extravasation from the arthroscopy itself, and for this reason we believe that if there is one singular cause to explain all of these neuropathies, it would be increased pressure in the upper arm and forearm from fluid extravasation in patients with at-risk anatomy. Outside of prevention, recognizing this complication and providing appropriate intervention or referral to a surgeon capable of appropriate intervention are important for any surgeon performing shoulder arthroscopies.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Shoulder and Elbow Surgery - Volume 25, Issue 10, October 2016, Pages 1699–1703
نویسندگان
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