Iatrogenic Neuropathy of Extremity Peripheral Nerves

Abstract


Retrospective clinical-ENMG analysis of data on 419 patients with mononeuropathy of different genesis (traumatic and nontraumatic) was presented. In 48 patients (11.4%) out of them mononeuropathy was of iatrogenic character. Neuropathy of radial and peroneal nerves was detected more often, 48% and 28%, respectively. Main causes of nerve injury were the mistakes in preoperative planning and inobservance of operative technique. It was showed that in most cases iatrogenic injury of nerve could be avoided. The ways of iatrogenic neuropathy prevention included the optimization of surgical and particularly traumatologic tactics.

Full Text

Ятрогенные невропатии периферических нервов конечностей

References

  1. Аверочкин А.И., Д.Р. Штульман Д.Р. Ятрогенные повреждения периферических нервов. Журнал невропатологии и психиатрии им. С.С. Корсакова.1992; 92 (3): 25—28.
  2. Birch R., Bonney G., Dowell J., Hollingdale J. Iatrogenic injuries of peripheral nerves. J. Bone Jt Surg. Br.1991; 73 (2): 280-282.
  3. Khan R., Birch R. Latropathic injuries of peripheral nerves. J. Bone Jt Surg. Br. 2001; 83 (8): 1145-1148.
  4. Ciaramitaro P., Mondelli M., Logullo F., Grimaldi S., Battiston B., Sard A. et al. Traumatic peripheral nerve injuries: epidemiological findings, neuropathic pain and quality of life in 158 patients. J. Peripher. Nerv. Syst. 2010; 15 (2): 120-127.
  5. Kretschmer T., Antoniadis G., Boerm W., RichterH. P. Iatrogenic nerve injuries. Part 1: Frequency distribution, new aspects, and timing of microsurgical treatment. Chirurg. 2004; 75 (11): 1104-1112.
  6. Zhang J., Moore A.E., Stringer M.D. Iatrogenic upper limb nerve injuries: a systematic review. ANZ J. Surg. 2011; 81 (4): 227-236.
  7. Moore A.E., Stringer M.D. Iatrogenic femoral nerve injury: a systematic review. Surg. Radiol. Anat. 2011; 33 (8): 649-658.
  8. Ludin H.P. Electromyography in practice. Stuttgart: Georg ThiemeVerlag. 1980.
  9. Seddon H.J. Three types of nerve injury. Brain. 1943: 66 (4): 237-288.
  10. Румянцев П.О. Интраоперационный нейромониторинг при операциях на голове и шее. Опухоли головы и шеи. 2012; 1: 32-37.
  11. Eager M., Shimer A., Jahangiri F.R., Shen F., Arlet V. Intraoperative neurophysiological monitoring (IONM): lessons learned from 32 case events in 2069 spine cases. Am. J. Electroneurodiagnostic Technol. 2011; 51 (4): 247-263.
  12. Schwartz D.M., Sestokas A.K., Hilibrand A.S., Vaccaro A.R., Bose B., Li M. et al. Neurophysiological identification of position-induced neurologic injury during anterior cervical spine surgery. J. Clin. Monit. Comput. 2006; 20 (6): 437-444.
  13. Warrender W.J., Oppenheimer S., Abboud J.A. Nerve monitoring during proximal humeral fracture fixation: what have we learned? Clin. Orthop. Relat. Res. 2011; 469 (9): 2631-2637.
  14. Salengros JS, Pandin P., Schuind F., Vandesteene A. Intraoperative somatosensory evoked potentials to facilitate peripheral nerve release. Can. J. Anaesth. 2006; 53 (1): 40-45.
  15. Кокин Г.С., Короткевич М.М. Хирургическое лечение ятрогенных повреждений лучевого нерва. Травматология и ортопедия России. 2003; 1: 46-47.
  16. Lim R., Shian Chao Tay, Yam A. Radial nerve injury during double plating of a displaced intercondylar fracture. J. Hand Surg. 2012; 37 (4): 669-672.
  17. Рачков Б.М., Горбунов В.А., Макаров В.П. Редкий случай повреждения лучевого нерва при наложении фиксирующей пластины. Травматология и ортопедия России. 2005; 4: 70.

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