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Neurovascular Complications Associated With Clavicle Fractures: A Report of Three Cases and Recommendations.
Cureus
November 2024
Department of Orthopedics, Royal Berkshire NHS Foundation Trust, Reading, GBR.
Neurovascular complications associated with clavicular shaft fractures can manifest at presentation, develop gradually over time, or potentially be iatrogenically induced. Conducting a thorough neurovascular examination and, when warranted, pursuing further investigation through modalities such as CT angiogram, MRI, and nerve conduction studies (NCS) are crucial for early diagnosis and pre-operative planning. This comprehensive approach enhances patient outcomes by facilitating timely intervention and addressing any underlying neurovascular issues associated with the fracture.
View Article and Find Full Text PDFProximal median nerve neuropathy: electrodiagnostic and ultrasound findings in 62 patients.
Front Neurol
December 2024
Norton Neuroscience Institute, Norton Healthcare, Louisville, KY, United States.
Objectives: Proximal median nerve (PMN) neuropathies are caused by lesions proximal to the carpal tunnel, which include the forearm, elbow, upper arm, and brachial plexus. Differentiating between carpal tunnel syndrome and PMN neuropathies is important to guide management and is based on clinical, electrodiagnostic (EDX), and ultrasound (US) findings. This study describes the clinical, EDX, and US features in 62 patients with PMNs.
View Article and Find Full Text PDFIatrogenic Brachial Plexus Lower Trunk Posterior Division Injury During C7 Harvest for Contralateral Transfer in a Child With Hemiplegic Cerebral Palsy.
Microsurgery
January 2025
Hand Surgery and Microsurgery Department, Farallones Clinic, Christus Health, Cali, Colombia.
Iatrogenic nerve injury during upper limb surgery (excluding the hand).
Orthop Traumatol Surg Res
November 2024
Service de chirurgie du membre supérieur, CHRU Strasbourg - Hautepierre, 2, Av. Molière, 67200 Strasbourg, France. Electronic address:
Nerve injury is the most feared complication of upper limb surgery. In about 17% of cases, the injury is iatrogenic and the potential for recovery is poor. In this context, patients file for compensation in about a quarter of cases.
View Article and Find Full Text PDFAge-Specific Strategies in Pediatric Vascular Trauma: A Comparative Analysis of Surgical and Heparin-Based Conservative Treatments.
Cureus
October 2024
Vascular Surgery, Korgialeneio-Benakeio Hellenic Red Cross Hospital, Athens, GRC.
Background Pediatric vascular trauma, although rare, poses significant clinical challenges due to the potential for long-term morbidity, including limb compromise and growth abnormalities. This study addresses the gap in standardized treatment protocols by evaluating the efficacy of heparin-based conservative treatments compared to surgical interventions in children under 13 years of age. Methods A retrospective observational study was conducted at a referral center, reviewing institutional records from January 2010 to December 2020.
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