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肩关节镜检查的一种罕见并发症。

A bizarre complication of shoulder arthroscopy.

作者信息

Bruno Maurilio, Lavanga Vito, Maiorano Emanuele, Sansone Valerio

机构信息

Istituto Ortopedico Galeazzi IRCCS, Via Galeazzi 4, 20161, Milan, Italy.

Orthopaedic Department, Università degli Studi di Milano, Via Festa del Perdono, 20122, Milan, Italy.

出版信息

Knee Surg Sports Traumatol Arthrosc. 2015 May;23(5):1426-1428. doi: 10.1007/s00167-013-2746-y. Epub 2013 Nov 1.

DOI:10.1007/s00167-013-2746-y
PMID:24178290
Abstract

A case is presented of an unusual complication of shoulder arthroscopy, which was caused by incorrect location of the posterior portal, inducing neurapraxia of both the axillary and radial nerves, with significant clinical and functional sequelae. A subsequent open surgical neurolysis was required to restore normal nerve function. This type of lesion has not been reported previously. Level of evidence V.

摘要

本文报告了一例肩关节镜检查罕见并发症的病例,该并发症由后外侧入路位置不当引起,导致腋神经和桡神经出现神经失用,伴有显著的临床和功能后遗症。随后需要进行开放性手术神经松解术以恢复正常神经功能。这种类型的损伤此前未见报道。证据级别为V级。

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引用本文的文献

1
Nerve lesions during arthroscopic procedure: a literature overview.关节镜手术期间的神经损伤:文献综述
Orthop Rev (Pavia). 2021 May 29;13(2):24441. doi: 10.52965/001c.24441. eCollection 2021.

本文引用的文献

1
Arthroscopic perspective of the axillary nerve in relation to the glenoid and arm position: a cadaveric study.关节镜下观察腋神经与关节盂及手臂位置的关系:一项尸体研究
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Complications after arthroscopic rotator cuff repair.关节镜下肩袖修补术后的并发症。
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3
Scalene regional anesthesia for shoulder surgery in a community setting: an assessment of risk.社区环境下肩部手术的斜角肌区域麻醉:风险评估
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Complications in arthroscopic shoulder surgery.
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Anterior portal selection for shoulder arthroscopy.肩关节镜检查前方入路的选择
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6
Arthroscopic surgery of the shoulder. A general appraisal.肩关节镜手术。综合评估。
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7
Complications in arthroscopic surgery performed by experienced arthroscopists.经验丰富的关节镜外科医生进行关节镜手术时的并发症。
Arthroscopy. 1988;4(3):215-21. doi: 10.1016/s0749-8063(88)80030-6.
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Anterior portals in shoulder arthroscopy.肩关节镜检查中的前方入路。
Arthroscopy. 1989;5(3):201-8. doi: 10.1016/0749-8063(89)90172-2.