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Related Experiment Videos

Accessory nerve injury.

M Vastamäki, K A Solonen

    Acta Orthopaedica Scandinavica
    |June 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    Accessory nerve injuries in the posterior cervical triangle, often from biopsies, can cause trapezius paralysis. Surgical interventions like neurolysis, neurorrhaphy, and nerve grafts showed good or fair recovery in most patients.

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    Area of Science:

    • Neurosurgery
    • Orthopedic Surgery
    • Reconstructive Surgery

    Background:

    • Accessory nerve injuries can occur during posterior cervical triangle procedures, such as lymph node biopsies.
    • These injuries may lead to trapezius muscle paralysis, causing shoulder dysfunction and deformity.

    Observation:

    • A cohort of 13 patients with accessory nerve injuries in the posterior cervical triangle was analyzed.
    • The primary cause was lymph node biopsy (11 patients), with two cases due to sharp glass injury.
    • Trapezius muscle paralysis resulted in significant loss of shoulder function.

    Findings:

    • Nine patients underwent surgical repair, including neurolysis (5), neurorrhaphy (2), and sural nerve grafts (2), between 3-17 months post-injury.
    • Good or fair outcomes were observed in 6 operative cases, with 5 of these being neurolysis procedures.

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  • Non-operative management resulted in good recovery in one case and fair recovery in three cases.
  • All but one patient returned to their previous employment, with a mean follow-up of 20 months.
  • Implications:

    • Surgical interventions, particularly neurolysis, can effectively restore function after accessory nerve injuries.
    • Early and appropriate management is crucial for functional recovery and return to work.
    • Understanding injury mechanisms aids in preventative strategies during cervical procedures.