Iatrogenic Supraclavicular Nerve Injuries in Surgical Treatment of Clavicle Fractures


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Abstract

Incidence and pattern of disturbed sensitivity in the zone of surgical intervention was studied in 24 patients with clavicle fractures. Traumatic damage of supraclavicular nerve (not related to surgery) was observed only in 1 case. Disturbance of sensitivity in the zone of surgical intervention was noted in 21 (87.5%) patients. Mean area of anesthesia made up 44.5±29.3 cm2 (from 8.0 to 125.5 cm2). That complication developed at both horizontal and vertical surgical approaches. Intraoperatively supraclavicular nerves were visualized and preserved in 6 patients however disturbed sensitivity in early postoperative period was observed in 4 cases. Preventive isolation of supraclavicular nerves does not always ensure the preservation of sensitivity in early postoperative period.

About the authors

A. S Zolotov

Far Eastern Federal University Medical Centre, Vladivostok, Russia

доктор мед. наук, профессор каф. клинической и экспериментальной хирургии Школы биомедицины ДВФУ, рук. центра травматологии и ортопедии Медицинского центра ДВФУ

M. S Feshchenko

Clinical Hospital № 2, Vladivostok, Russia

Email: marishka-f@mail.ru
врач травматолог-ортопед КГАУЗ ВКБ №2; Тел.: +7 (4232) 31-05-38 690069, Владивосток, проспект 100-летия Владивостоку, д. 110, кв. 54

O. I Pak

Far Eastern Federal University Medical Centre, Vladivostok, Russia

канд. мед. наук, главврач Медицинского центра ДВФУ

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