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Major Peripheral Nerve Injuries After Elbow Arthroscopy.

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Nerve injuries, including ulnar and radial nerves, are common after elbow arthroscopy. Most major nerve injuries require surgery and often result in poor functional recovery, highlighting the need for patient counseling.

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Area of Science:

  • Orthopedic Surgery
  • Neuroscience
  • Patient Safety

Background:

  • Elbow arthroscopy is increasingly common.
  • Complications, particularly nerve injuries, require further investigation.

Purpose of the Study:

  • To determine the incidence and types of nerve injuries following elbow arthroscopy.
  • To assess the treatment and outcomes of these nerve injuries.

Main Methods:

  • An anonymous online survey was distributed to members of the American Society for Surgery of the Hand.
  • Data collected included the number, nature, treatment, and outcomes of nerve injuries over five years.

Main Results:

  • 222 nerve injuries were reported, with the ulnar, radial, and posterior interosseous nerves most affected.
  • Nearly 50% of injuries required surgical intervention; 77% of major injuries had poor motor recovery.
  • All minor injuries resolved completely.

Conclusions:

  • Major nerve injuries are a significant risk after elbow arthroscopy and may be underreported.
  • Patients must be informed about the potential for poor functional recovery after nerve injury.
  • Understanding these complications is crucial for patient safety and improved outcomes in elbow arthroscopy.