Ulnar Nerve Injury due to Lateral Traction Device During Shoulder Arthroscopy: Was it Avoidable?

Pandey, Vivek and Madi, Sandesh S and Acharya, Kiran KV (2017) Ulnar Nerve Injury due to Lateral Traction Device During Shoulder Arthroscopy: Was it Avoidable? Formosan Journal of Surgery, 50 (6). pp. 220-222. ISSN 1682-606X

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Abstract

Most of the nerve injuries reported during shoulder arthroscopy in a beach chair, or lateral position is related to inappropriate patient positioning or excess traction. The lateral decubitus position is more vulnerable for traction‑related neuropraxia. The present case serves as an important lesson from an avoidable situation of “having a one track mind” of the surgical team during the arthroscopic repair of shoulder instability performed in the lateral decubitus position. The operating surgeon must supervise the appropriate positioning of the patient on operation table and adequate padding of vulnerable bony points before beginning of shoulder arthroscopy to prevent any position‑related nerve injuries. This is probably the first case to illustrate an unusual cause of ulnar nerve compression particularly related to the use of an additional traction device in the arthroscopic repair of shoulder instability performed in lateral decubitus position, which has not been previously defined

Item Type: Article
Uncontrolled Keywords: Arthroscopy; Lateral decubitus; Lateral jack; Neuropraxia; Ulnar nerve
Subjects: Medicine > KMC Manipal > Orthopaedics
Depositing User: KMC Library
Date Deposited: 13 Mar 2018 09:59
Last Modified: 13 Mar 2018 09:59
URI: http://eprints.manipal.edu/id/eprint/150737

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