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Perioperative upper extremity peripheral nerve traction injuries.

Christopher T Plastaras1, Akhil Chhatre, Ashot S Kotcharian

  • 1Department of Physical Medicine and Rehabilitation, University of Pennsylvania Perelman School of Medicine, 1800 Lombard Street, Philadelphia, PA 19146, USA.

The Orthopedic Clinics of North America
|November 26, 2013
PubMed
Summary

Peripheral nerve traction injuries can happen after surgery, affecting major arm nerves. This review focuses on shoulder and elbow surgery complications, stressing injury understanding for better patient outcomes.

Keywords:
PerioperativePeripheral nerveTraction injuriesUpper extremity

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Area of Science:

  • Orthopedic Surgery
  • Neurology
  • Upper Extremity Anatomy

Background:

  • Peripheral nerve traction injuries are a potential complication following surgical procedures.
  • These injuries can impact any of the major peripheral nerves in the upper extremity.
  • Surgical interventions, particularly around the shoulder and elbow, are associated with these nerve injuries.

Purpose of the Study:

  • To review peripheral nerve traction injuries specifically occurring after shoulder or elbow surgical interventions.
  • To elucidate the mechanisms of injury and classification systems for these nerve injuries.
  • To emphasize the importance of understanding these injuries for preoperative risk assessment and effective management.

Main Methods:

  • This study is a review of existing literature on peripheral nerve traction injuries.
  • The review focuses on cases associated with shoulder and elbow surgery.
  • Analysis of injury mechanisms and classification systems is central to the review.

Main Results:

  • Peripheral nerve traction injuries are a recognized complication of shoulder and elbow surgery.
  • Various mechanisms can lead to these traction injuries.
  • A clear classification system aids in understanding injury severity and type.

Conclusions:

  • Understanding the mechanisms and classification of peripheral nerve traction injuries is crucial.
  • This knowledge is imperative for accurate preoperative risk stratification.
  • Effective management strategies for these injuries depend on a thorough understanding of their nature.