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Nerve compression injuries due to traumatic false aneurysm.

J V Robbs, K S Naidoo

    Annals of Surgery
    |July 1, 1984
    PubMed
    Summary
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    A retrospective review of brachial artery injuries and repairs--is it still a "training artery"?

    Injury·2010

    Delayed nerve compression after arterial injury can cause significant dysfunction. Prompt circulatory assessment in penetrating trauma patients is crucial to prevent this avoidable complication.

    Area of Science:

    • Vascular Surgery
    • Neurology
    • Trauma Management

    Background:

    • Penetrating arterial injuries can lead to delayed onset of compression neuropraxia.
    • Hemorrhage following nonoperative treatment is a key factor.
    • This complication affects major nerves including the brachial plexus and sciatic nerve.

    Purpose of the Study:

    • To present experience with 17 patients suffering delayed compression neuropraxia.
    • To identify factors influencing neurological recovery.
    • To emphasize the importance of early circulatory status appraisal.

    Main Methods:

    • Retrospective review of 17 patients with delayed compression neuropraxia.
    • Analysis of injury location (neck, shoulder, upper extremity, gluteal vessels).

    Related Experiment Videos

  • Assessment of neurological outcomes for brachial plexus and peripheral nerve injuries.

    • Main Results:

    • Fifteen cases involved upper body arteries, two involved gluteal vessels.
    • Brachial plexus lesions showed variable recovery (2/10 full, 5/10 partial, 3/10 none).
    • Peripheral nerve injuries had poor recovery (2/7 full, 5/7 none). Sepsis, hand innervation, and sciatic nerve involvement were adverse prognostic factors.

    Conclusions:

    • Delayed compression neuropraxia is an avoidable complication of penetrating arterial injury.
    • Early and thorough circulatory assessment is vital for patients with penetrating trauma.
    • Prognosis is better for upper trunk brachial plexus and radial nerve lesions.