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Iatrogenic Nerve Injuries of the Upper Extremity: A Critical Analysis Review
Christopher S Crowe1, Alexander Y Shin2, Nicholas Pulos2
1Division of Plastic Surgery, Department of Surgery, University of Washington, Seattle, Washington.
JBJS Reviews
|February 1, 2023
Summary
Iatrogenic nerve injuries in the upper extremity require prompt diagnosis for effective treatment. Advanced imaging and electrodiagnostic studies are crucial for planning surgical repair, grafting, or functional transfers.
Area of Science:
- Orthopedic Surgery
- Neurology
- Radiology
Background:
- Iatrogenic nerve injuries are a potential complication of upper extremity interventions.
- These injuries can result from various causes including direct trauma, compression, and improper positioning.
Purpose of the Study:
- To highlight the importance of early and accurate diagnosis in managing iatrogenic peripheral nerve lesions.
- To discuss the role of advanced imaging and electrodiagnostic studies in preoperative planning.
Main Methods:
- Review of iatrogenic nerve injury causes and diagnostic modalities.
- Discussion of treatment options based on injury assessment.
Main Results:
- Early diagnosis is paramount for optimal treatment outcomes.
- Advanced imaging (ultrasound, MRI) and electrodiagnostic studies significantly aid in preoperative planning.
- Treatment strategies are tailored to the specific injury and include direct repair, grafting, and functional transfers.
Conclusions:
- Effective management of iatrogenic nerve injuries necessitates a timely and precise diagnosis.
- A multidisciplinary approach utilizing advanced diagnostics and tailored surgical techniques ensures the best functional recovery.
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