Nerve injuries do occur in elbow arthroscopy

Nick F.J. Hilgersom; Derek F.P. van Deurzen; Carina L.E. Gerritsma; Huub J.L. van der Heide; Martijn J.A. Malessy; Denise Eygendaal; Michel P.J. van den Bekerom

doi:10.1007/s00167-017-4719-z

Nerve injuries do occur in elbow arthroscopy

Nick F.J. Hilgersom^*, Derek F.P. van Deurzen, Carina L.E. Gerritsma, Huub J.L. van der Heide, Martijn J.A. Malessy, Denise Eygendaal, Michel P.J. van den Bekerom

^*Corresponding author for this work

Research output: Contribution to Journal › Article › Academic › peer-review

Abstract

Purpose: The purpose is to create more awareness as well as emphasize the risk of permanent nerve injury as a complication of elbow arthroscopy. Methods: Patients who underwent elbow arthroscopy complicated by permanent nerve injury were retrospectively collected. Patients were collected using two strategies: (1) by word-of-mouth throughout the Dutch Society of Shoulder and Elbow Surgery, and the Leiden University Nerve Centre, and (2) approaching two medical liability insurance companies. Medical records were reviewed to determine patient characteristics, disease history and postoperative course. Surgical records were reviewed to determine surgical details. Results: A total of eight patients were collected, four men and four women, ageing 21–54 years. In five out of eight patients (62.5%), the ulnar nerve was affected; in the remaining three patients (37.5%), the radial nerve was involved. Possible causes for nerve injury varied among patients, such as portal placement and the use of motorized instruments. Conclusions: A case series on permanent nerve injury as a complication of elbow arthroscopy is presented. Reporting on this sequel in the literature is little, however, its risk is not to be underestimated. This study emphasizes that permanent nerve injury is a complication of elbow arthroscopy, concurrently increasing awareness and thereby possibly aiding to prevention. Level of evidence: IV, case series.

Original language	English
Pages (from-to)	318-324
Number of pages	7
Journal	Knee Surgery, Sports Traumatology, Arthroscopy
Volume	26
Issue number	1
DOIs	https://doi.org/10.1007/s00167-017-4719-z
Publication status	Published - 1 Jan 2018
Externally published	Yes

Funding

Conflict of interest Mr. Hilgersom, Ms. Gerritsma and Dr. Ma-lessy have no conflicts of interest or financial ties to disclose. Mr. van Deurzen and Mr. van den Bekerom receive an enabling grant from Smith and Nephew for research in rotator cuff surgery and research funding from Tornier. Dr. van der Heide is unpaid president of the Netherlands Rheumatoid and Arthritis Surgical Society and receives payment from BSN Medical for lectures and travel expenses. Dr. Ey-gendaal is a consultant for Lima Elbow System and receives payment for lectures from the AO foundation and travel expenses from the ES-SKA board. None of the authors mentioned above received financial support for this study.

Keywords

Arthroscopy
Complication
Elbow
Nerve injury
Permanent
Preventive strategies

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title = "Nerve injuries do occur in elbow arthroscopy",

abstract = "Purpose: The purpose is to create more awareness as well as emphasize the risk of permanent nerve injury as a complication of elbow arthroscopy. Methods: Patients who underwent elbow arthroscopy complicated by permanent nerve injury were retrospectively collected. Patients were collected using two strategies: (1) by word-of-mouth throughout the Dutch Society of Shoulder and Elbow Surgery, and the Leiden University Nerve Centre, and (2) approaching two medical liability insurance companies. Medical records were reviewed to determine patient characteristics, disease history and postoperative course. Surgical records were reviewed to determine surgical details. Results: A total of eight patients were collected, four men and four women, ageing 21–54 years. In five out of eight patients (62.5%), the ulnar nerve was affected; in the remaining three patients (37.5%), the radial nerve was involved. Possible causes for nerve injury varied among patients, such as portal placement and the use of motorized instruments. Conclusions: A case series on permanent nerve injury as a complication of elbow arthroscopy is presented. Reporting on this sequel in the literature is little, however, its risk is not to be underestimated. This study emphasizes that permanent nerve injury is a complication of elbow arthroscopy, concurrently increasing awareness and thereby possibly aiding to prevention. Level of evidence: IV, case series.",

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AU - van Deurzen, Derek F.P.

AU - Gerritsma, Carina L.E.

AU - van der Heide, Huub J.L.

AU - Malessy, Martijn J.A.

AU - Eygendaal, Denise

AU - van den Bekerom, Michel P.J.

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AB - Purpose: The purpose is to create more awareness as well as emphasize the risk of permanent nerve injury as a complication of elbow arthroscopy. Methods: Patients who underwent elbow arthroscopy complicated by permanent nerve injury were retrospectively collected. Patients were collected using two strategies: (1) by word-of-mouth throughout the Dutch Society of Shoulder and Elbow Surgery, and the Leiden University Nerve Centre, and (2) approaching two medical liability insurance companies. Medical records were reviewed to determine patient characteristics, disease history and postoperative course. Surgical records were reviewed to determine surgical details. Results: A total of eight patients were collected, four men and four women, ageing 21–54 years. In five out of eight patients (62.5%), the ulnar nerve was affected; in the remaining three patients (37.5%), the radial nerve was involved. Possible causes for nerve injury varied among patients, such as portal placement and the use of motorized instruments. Conclusions: A case series on permanent nerve injury as a complication of elbow arthroscopy is presented. Reporting on this sequel in the literature is little, however, its risk is not to be underestimated. This study emphasizes that permanent nerve injury is a complication of elbow arthroscopy, concurrently increasing awareness and thereby possibly aiding to prevention. Level of evidence: IV, case series.

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Nerve injuries do occur in elbow arthroscopy

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