Ulnar nerve injury due to lateral traction device during shoulder arthroscopy

Was it avoidable?

Research output: Contribution to journalArticle

Abstract

Most of the nerve injuries reported during shoulder arthroscopy in a beach chair, or lateral position is related to inappropriate patient positioning or excess traction. The lateral decubitus position is more vulnerable for traction-related neuropraxia. The present case serves as an important lesson from an avoidable situation of 'having a one track mind' of the surgical team during the arthroscopic repair of shoulder instability performed in the lateral decubitus position. The operating surgeon must supervise the appropriate positioning of the patient on operation table and adequate padding of vulnerable bony points before beginning of shoulder arthroscopy to prevent any position-related nerve injuries. This is probably the first case to illustrate an unusual cause of ulnar nerve compression particularly related to the use of an additional traction device in the arthroscopic repair of shoulder instability performed in lateral decubitus position, which has not been previously defined.

Original languageEnglish
Pages (from-to)220-222
Number of pages3
JournalFormosan Journal of Surgery
Volume50
Issue number6
DOIs
Publication statusPublished - 01-11-2017

Fingerprint

Ulnar Nerve
Arthroscopy
Traction
Patient Positioning
Equipment and Supplies
Wounds and Injuries
Ulnar Nerve Compression Syndromes
Operating Tables

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

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title = "Ulnar nerve injury due to lateral traction device during shoulder arthroscopy: Was it avoidable?",
abstract = "Most of the nerve injuries reported during shoulder arthroscopy in a beach chair, or lateral position is related to inappropriate patient positioning or excess traction. The lateral decubitus position is more vulnerable for traction-related neuropraxia. The present case serves as an important lesson from an avoidable situation of 'having a one track mind' of the surgical team during the arthroscopic repair of shoulder instability performed in the lateral decubitus position. The operating surgeon must supervise the appropriate positioning of the patient on operation table and adequate padding of vulnerable bony points before beginning of shoulder arthroscopy to prevent any position-related nerve injuries. This is probably the first case to illustrate an unusual cause of ulnar nerve compression particularly related to the use of an additional traction device in the arthroscopic repair of shoulder instability performed in lateral decubitus position, which has not been previously defined.",
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Ulnar nerve injury due to lateral traction device during shoulder arthroscopy : Was it avoidable? / Pandey, Vivek; Madi, Sandesh; Acharya, Kiran.

In: Formosan Journal of Surgery, Vol. 50, No. 6, 01.11.2017, p. 220-222.

Research output: Contribution to journalArticle

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