Ulnar nerve injury due to lateral traction device during shoulder arthroscopy
Autor: | Kiran Kv Acharya, Vivek Pandey, Sandesh Madi |
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Rok vydání: | 2017 |
Předmět: |
0301 basic medicine
medicine.medical_specialty lateral jack medicine.medical_treatment lcsh:Surgery Arthroscopy 03 medical and health sciences 0302 clinical medicine mental disorders medicine Lateral Decubitus Position Ulnar nerve injury Ulnar nerve Surgical team Shoulder arthroscopy medicine.diagnostic_test business.industry lcsh:RD1-811 neuropraxia Traction (orthopedics) Surgery 030104 developmental biology lateral decubitus Orthopedic surgery ulnar nerve business human activities psychological phenomena and processes 030217 neurology & neurosurgery |
Zdroj: | Formosan Journal of Surgery, Vol 50, Iss 6, Pp 220-222 (2017) |
ISSN: | 1682-606X |
DOI: | 10.4103/fjs.fjs_12_17 |
Popis: | Most of the nerve injuries reported during shoulder arthroscopy in a beach chair, or lateral position is related to inappropriate patient positioning or excess traction. The lateral decubitus position is more vulnerable for traction-related neuropraxia. The present case serves as an important lesson from an avoidable situation of “having a one track mind” of the surgical team during the arthroscopic repair of shoulder instability performed in the lateral decubitus position. The operating surgeon must supervise the appropriate positioning of the patient on operation table and adequate padding of vulnerable bony points before beginning of shoulder arthroscopy to prevent any position-related nerve injuries. This is probably the first case to illustrate an unusual cause of ulnar nerve compression particularly related to the use of an additional traction device in the arthroscopic repair of shoulder instability performed in lateral decubitus position, which has not been previously defined. |
Databáze: | OpenAIRE |
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