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Peripheral Nerve Injury After Elbow Arthroscopy: An Analysis of Risk Factors
Alexander H Jinnah1, T David Luo1, Ethan R Wiesler1
1Department of Orthopaedic Surgery, Wake Forest Baptist Medical Center, Winston-Salem, North Carolina, U.S.A.
Summary
Elbow arthroscopy has low rates of nerve injury (4.4% minor, 0.9% major). Identified risk factors did not correlate with complications, suggesting the procedure is safe.
Area of Science:
- Orthopedic Surgery
- Neurosurgery
- Patient Safety
Background:
- Peripheral nerve injury is a potential complication of elbow arthroscopy.
- Understanding risk factors is crucial for improving patient outcomes and surgical safety.
Purpose of the Study:
- To determine the incidence of peripheral nerve injury following elbow arthroscopy.
- To identify potential risk factors associated with these nerve injuries.
Main Methods:
- Retrospective analysis of 227 elbow arthroscopies performed between 2006 and 2016.
- Inclusion of factors such as surgeon experience, patient BMI, tourniquet time, anesthesia type, radiographic findings, diagnosis, and diabetes.
- Recording of minor and major nerve-related complications.
Main Results:
- A total of 12 peripheral nerve injuries were reported: 10 minor (4.4%) and 2 major (0.9%).
- No statistically significant correlation was found between the examined risk factors and the rate of nerve-related complications.
Conclusions:
- Elbow arthroscopy demonstrates a low incidence of nerve-related complications, indicating it is a relatively safe procedure.
- The study did not identify specific risk factors associated with nerve injury, possibly due to statistical limitations (Type II/beta error).
- Further research is needed to elucidate the exact causes of nerve injury in elbow arthroscopy.
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