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Iatrogenic injury to the accessory nerve
Daniella Boström1, Lars B Dahlin
1Department of Hand Surgery, Malmö University Hospital, Lund University, Malmö, Sweden.
Iatrogenic nerve injuries during lymph node biopsies, though uncommon, cause shoulder pain and arm abduction issues. Early surgical repair can improve outcomes, but prevention remains the most critical aspect for patient recovery.
Area of Science:
- Neurology
- Surgical Anatomy
- Medical Malpractice
Background:
- Iatrogenic nerve injuries are potential complications of surgical procedures, including lymph node biopsies.
- The incidence of nerve damage during these biopsies ranges from 3% to 10%.
Observation:
- Two patients presented with rare causes of iatrogenic nerve injuries.
- Symptoms included shoulder pain and significant limitation in arm abduction.
- Diagnosis of these nerve injuries is frequently delayed.
Findings:
- Review of anatomy, presentation, and repair options for iatrogenic nerve injuries.
- Surgical repair can enhance both arm function and pain management.
- Optimal timing for surgical intervention is within six months of injury.
Implications:
- Highlights the importance of anatomical knowledge to prevent nerve damage during biopsies.
- Emphasizes the need for timely diagnosis and early surgical intervention for improved patient outcomes.
- Underscores prevention as the paramount strategy in managing iatrogenic nerve injuries.
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