Incidence, Risk Factors, Prevention, and Management of Peripheral Nerve Injuries Following Shoulder Arthroplasty

In this article, the authors review the incidence and causes of iatrogenic peripheral nerve injuries following shoulder arthroplasty and provide preventative measures to decrease nerve injury rate and management options. They describe common direct and indirect causes of injury such as laceration an...

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Bibliographic Details
Published inThe Orthopedic clinics of North America Vol. 53; no. 2; p. 205
Main Authors Patel, Manan S, Daher, Mohammad, Fuller, David A, Abboud, Joseph A
Format Journal Article
LanguageEnglish
Published United States 01.04.2022
Subjects
Arthroplasty - adverse effects
Arthroplasty, Replacement, Shoulder - adverse effects
Humans
Incidence
Peripheral Nerve Injuries - etiology
Peripheral Nerve Injuries - prevention & control
Risk Factors
Prevention
Nerve injury
Anatomic total shoulder arthroplasty
Management
Neuromonitoring
Reverse total shoulder arthroplasty
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Summary:In this article, the authors review the incidence and causes of iatrogenic peripheral nerve injuries following shoulder arthroplasty and provide preventative measures to decrease nerve injury rate and management options. They describe common direct and indirect causes of injury such as laceration and retractor use versus arm positioning and lengthening, respectively. Preventative measures include an understanding of anatomy and high-risk locations in the shoulder, minimizing extreme ranges of arm motion and utilization of intraoperative nerve monitoring. Lastly, the authors review diagnosis and management of neurologic symptoms including how and when to use electrodiagnostic studies, nerve grafts, transfers, or muscle/tendon transfers.
ISSN:1558-1373
DOI:10.1016/j.ocl.2021.11.006