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Comparison of supraclavicular nerve injuries after clavicle mid shaft surgery via minimally invasive plate osteosynthesis versus open reduction and internal fxation

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Alternative Title
Comparison of supraclavicular nerve injuries after clavicle mid shaft surgery via minimally invasive plate osteosynthesis versus open reduction and internal fxation
Abstract
-------------e-pub(21.12.13)-----------------
Abstract
Introduction Only a few previous studies have evaluated the factors related to supraclavicular nerve (SCN) injury after clavicle mid-shaft fracture surgery. We analyzed the frequency and risk factors for SCN injury after clavicle mid-shaft fracture
surgery via open reduction and internal fxation (ORIF) versus minimally invasive plate osteosynthesis (MIPO)
Materials and methods We retrospectively reviewed the cases from 59 patients who had undergone surgery for clavicle
mid-shaft fractures between January 2018 and April 2019. Twenty-nine patients had undergone ORIF and 30 had undergone MIPO. The frequency of SCN injury in the two groups was evaluated, and preoperative patient demographics (age,
sex, body mass index, smoking, alcohol, diabetes mellitus, and trauma mechanism), and radiological parameters (fracture
displacement and shortening) were measured and evaluated as risk factors for SCN injury. When neurological symptoms,
such as numbness, were present on the anterior chest wall or at the incision site, electromyography (EMG) was conducted.
Results Neurological symptoms were present in 12 patients. Numbness in the anterior upper chest around the incision site
was present in eight and four patients who underwent ORIF and MIPO, respectively (p<0.001). Furthermore, fracture displacement evaluated on preoperative three-dimensional computed tomography was signifcantly associated with the occurrence of SCN injury in patients who underwent MIPO (odds ratio, 1.038; 95% confdence interval, 1.001?1.077; p=0.047).
Although EMG was conducted in all patients with SCN injury, peripheral neuropathy was not found in any cases.
Conclusions SCN injury, which is a possible complication of clavicle mid-shaft fracture surgery, occurred signifcantly less
frequently in MIPO than in ORIF. In MIPO, greater preoperative fracture displacement was associated with a higher risk
of SCN injury. Additional studies are required to reach a consensus regarding accurate methods to evaluate SCN injuries
Author(s)
고상훈김명서
Issued Date
2021
Type
Article
Keyword
Clavicle mid-shaft fractureOpen reduction and internal fxationMinimal invasive plate osteosynthesisSuprascapular nerve injuryElectromyography
DOI
10.1007/s00402-021-03941-w
URI
https://oak.ulsan.ac.kr/handle/2021.oak/8667
https://ulsan-primo.hosted.exlibrisgroup.com/primo-explore/fulldisplay?docid=TN_cdi_proquest_miscellaneous_2524878710&amp;context=PC&amp;vid=ULSAN&amp;lang=ko_KR&amp;search_scope=default_scope&amp;adaptor=primo_central_multiple_fe&amp;tab=default_tab&amp;query=any,contains,Comparison%20of%20supraclavicular%20nerve%20injuries%20after%20clavicle%20mid%20shaft%20surgery%20via%20minimally%20invasive%20plate%20osteosynthesis%20versus%20open%20reduction%20and%20internal%20fxation&amp;offset=0&amp;pcAvailability=true
Publisher
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
Location
미국
Language
영어
ISSN
0936-8051
Citation Volume
1
Citation Number
1
Citation Start Page
1
Citation End Page
1
Appears in Collections:
Medicine > Medicine
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