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Difficult Implanon Extraction Resulting in Ulnar Neuropathy: Clinical Insights
Chai Jia Lik1, Lim Chia Hua1, Fredy Arianto2
1Department of Orthopedics and Traumatology, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, MYS.
Cureus
|April 21, 2025
Summary
Healthcare providers must be vigilant for rare ulnar neuropathy complications during Implanon NXT removal. Prompt referral to specialists is crucial for managing nerve injuries and optimizing patient outcomes.
Area of Science:
- Contraceptive implant procedures
- Neurological complications in primary care
- Surgical adverse events
Background:
- Implanon NXT is a common subdermal contraceptive implant.
- Insertion and removal are typically performed by primary healthcare providers.
- While generally safe, rare complications can occur.
Observation:
- Ulnar neuropathy is a rare but serious complication during Implanon NXT removal.
- This nerve injury results from inadvertent impingement or trauma.
- Potential consequences include significant functional impairment and chronic pain.
Findings:
- Successful Implanon NXT removal depends on meticulous technique and provider training.
- Early recognition of nerve injury signs is critical for management.
- Difficult removals or complications necessitate prompt specialist referral.
Implications:
- Timely referral to specialty centers ensures expert management of ulnar neuropathy.
- Appropriate care can mitigate long-term sequelae and improve patient outcomes.
- Vigilance for adverse events is essential for safe contraceptive implant procedures.
