Prevalence and Risk Factors for Lateral Femoral Cutaneous Nerve Palsy in the Beach Chair Position
| Autor: | Christopher D. Glezos, Ari J. Holtzman, Eric J. Feit, Konrad I. Gruson |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Shoulder surgery medicine.medical_treatment Posture Patient Positioning Arthroscopy Young Adult 03 medical and health sciences 0302 clinical medicine Femoral nerve Risk Factors Prevalence medicine Paralysis Humans Orthopedics and Sports Medicine Aged Retrospective Studies Aged 80 and over 030222 orthopedics Palsy medicine.diagnostic_test Shoulder Joint business.industry Body Weight Retrospective cohort study Middle Aged Surgery medicine.anatomical_structure Thigh Anesthesia Female New York City Shoulder joint medicine.symptom business human activities Body mass index Femoral Nerve 030217 neurology & neurosurgery |
| Zdroj: | Arthroscopy: The Journal of Arthroscopic & Related Surgery. |
| ISSN: | 0749-8063 |
| Popis: | Purpose To report on the prevalence of lateral femoral cutaneous nerve (LFCN) palsy in patients who had undergone shoulder surgery in the beach chair position and to identify patient and surgical risk factors for its development. Methods We retrospectively reviewed the medical records of 397 consecutive patients who underwent either open or arthroscopic shoulder surgery in the beach chair position by a single surgeon. Patient demographic and surgical data including age, gender, weight, body mass index (BMI), diabetes, procedure duration, and anesthesia type (general, regional, regional/general) were recorded. LFCN palsy symptoms were recorded prospectively at the initial postoperative visit and identified clinically by focal pain, numbness, and/or tingling over the anterolateral thigh. Results The median patient age was 59.0 years and consisted of 158 males (40%) and 239 (60%) females. Five cases of LFCN palsy were identified for a prevalence of 1.3%. These patients had a higher median weight (108.9 kg vs 80.7 kg, P = .005) and BMI (39.6 vs 29.4, P = .005) than the patients who did not develop LFCN palsy. Median age, gender, diabetes, and surgical time were not significantly different between the groups. All cases resolved completely within 6 months. Conclusions LFCN palsy after shoulder surgery in the beach chair position in our study has a prevalence of 1.3%, making it an uncommon complication. Patients with elevated BMI should be counseled about its possible occurrence after shoulder surgery in the beach chair position. Level of Evidence Level IV, prognostic. |
| Databáze: | OpenAIRE |
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