电邮这篇文章 Iatrogenic Supraclavicular Nerve Injuries in Surgical Treatment of Clavicle Fractures
- 作者: Zolotov A.S1, Feshchenko M.S2, Pak O.I1
-
隶属关系:
- Far Eastern Federal University Medical Centre, Vladivostok, Russia
- Clinical Hospital № 2, Vladivostok, Russia
- 期: 卷 22, 编号 2 (2015)
- 页面: 50-54
- 栏目: Articles
- URL: https://ogarev-online.ru/0869-8678/article/view/47765
- DOI: https://doi.org/10.17816/vto201522250-54
- ID: 47765
如何引用文章
全文:
详细
Incidence and pattern of disturbed sensitivity in the zone of surgical intervention was studied in 24 patients with clavicle fractures. Traumatic damage of supraclavicular nerve (not related to surgery) was observed only in 1 case. Disturbance of sensitivity in the zone of surgical intervention was noted in 21 (87.5%) patients. Mean area of anesthesia made up 44.5±29.3 cm2 (from 8.0 to 125.5 cm2). That complication developed at both horizontal and vertical surgical approaches. Intraoperatively supraclavicular nerves were visualized and preserved in 6 patients however disturbed sensitivity in early postoperative period was observed in 4 cases. Preventive isolation of supraclavicular nerves does not always ensure the preservation of sensitivity in early postoperative period.
作者简介
A. Zolotov
Far Eastern Federal University Medical Centre, Vladivostok, Russiaдоктор мед. наук, профессор каф. клинической и экспериментальной хирургии Школы биомедицины ДВФУ, рук. центра травматологии и ортопедии Медицинского центра ДВФУ
M. Feshchenko
Clinical Hospital № 2, Vladivostok, Russia
Email: marishka-f@mail.ru
врач травматолог-ортопед КГАУЗ ВКБ №2; Тел.: +7 (4232) 31-05-38 690069, Владивосток, проспект 100-летия Владивостоку, д. 110, кв. 54
O. Pak
Far Eastern Federal University Medical Centre, Vladivostok, Russiaканд. мед. наук, главврач Медицинского центра ДВФУ
参考
- Rüedi Th., Schweiberer L., Bandi W., Holz U. Лопатка, ключица, плечо. В кн.: М.Е. Мюллер, М. Алльговер, Р. Шнайдер, Х. Виллингер: Руководство по внутреннему остеосинтезу. Springer - Verlag: AdMarginem; 1996.
- Perez E.A. Fractures of the shoulder, arm and forearm. In: S.T. Canale, J.H. Beaty. Campbell's Operative Orthopaedics, 12th ed. Philadelphia: PA; 2013.
- McKee M.D. Clavicular fractures. In: R.W Bucholz, J.D. Heckman, C.M. Court-Brown. Rockwood And Green's Fractures In Adults. 7th ed. Lippincott: Williams & Wilkins; 2010.
- Havet E., Duparc F., Tobenas-Dujardin A.C., Muller J.M., Fréger P. Morphometric study of the shoulder and subclavicular innervation by the intermediate and lateral branches of supraclavicular nerves. Surg. Radiol. Anat. 2007; 29 (8): 605-10.
- d'Heurle A., Le T., Grawe B., Casstevens E. C., Edgington J., Archdeacon M.T., Wyrick J. Perioperative risks associated with the operative treatment of clavicle fractures. Injury. 2013; 44 (11): 1579-81.
- Пермяков А.Н. Программа по определению площади сложных фигур «AreaS». http://ssaa.ru/index.php?id=proekt&sn=05.
- Nathe T., Tseng S., Yoo B. The anatomy of the supraclavicular nerve during surgical approach to the clavicular shaft // Clinical Orthopaedics and Related Research. 2011; 469: 890-4.
- Синельников Р.Д. Атлас анатомии человека. т. 3. М.: Медицина; 1968.
- Wang K., Dowrick A., Choi J., Rahim R., Edwards E. Postoperative numbness and patient satisfaction following plate fixation of clavicular fractures. Injury. 2010; 41 (10): 1002-5.
- Mehta A., Birch R. Supraclavicular nerve injury: the neglected nerve? Injury. 1997; 28 (7): 491-2.
- O’Neill K., Stutz C., Duvernay M., Schoenecker J. Supraclavicular nerve entrapment and clavicular fracture. J. Orthop. Trauma. 2012; 26 (6): 63-5.
- Natsis K., Didagelos M., Totlis T., Tsikaras P., Koebke J. Intermediate supraclavicular nerve perforating the clavicle: a rare anatomical finding and its clinical significance. Aristotle University Medical J. 2007; 34 (1): 61-3.
- Gelberman R.H., Verdeck W.N., Brodhead W.T. Supraclavicular nerve-entrapment syndrome. J. Bone Joint Surg. 1975; 57 (1): 119.
补充文件
