Traumatische Läsionen des Plexus brachialis

Schnick, U; Dähne, F.; Tittel, A.; Vogel, K; Vogel, A.; Eisenschenk, A.; Böttcher, R.

doi:10.1007/s00113-018-0506-7

Cited by 4 publications

(3 citation statements)

References 29 publications

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“…When suspecting concomitant injuries, arthro-MRI, MRI and CT are used. If clinical signs for suspected sensory deficits or plexus lesions are present, further diagnostics including plexus MRI and/or ultrasound as well as electromyography (EMG) and nerve conduction velocity (NCV) are necessary [ 19 ].…”

Section: Introductionmentioning

confidence: 99%

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Incidence, diagnostics and treatment algorithm of nerve lesions after traumatic shoulder dislocations: a retrospective multicenter study

Tiefenboeck

Zeilinger

Komjati

et al. 2020

Arch Orthop Trauma Surg

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Background The shoulder is the joint most prone to dislocating in the human body and accounts for 45% of all dislocations. In addition to ruptures of the soft tissue and bony injuries, lesions to vascular structures as well as the brachial plexus and its corresponding nerves might occur. With an incidence of up to 65%, nerve lesions are frequently reported after shoulder dislocations. The aim of this study is to obtain information on epidemiology, diagnostics, treatment and duration until remission or late sequelae after shoulder dislocation and concomitant nerve injury in a large patient cohort. Methods The patient cohort consisted of 15,739 patients from three centres who had sustained a shoulder dislocation. All patient files were searched for concomitant injury of the brachial plexus or its corresponding nerves. For epidemiological data analysis, demographic data, clinical follow-ups, electromyography and nerve conduction velocity were evaluated. Results In total, 60 patients (32 males, 28 females) with a mean age of 60 years (range 19-88 years) met the inclusion criteria. In the majority of patients (n = 51), the trauma mechanism was a trivial fall on the outstretched arm. The most frequent dislocation direction was anterior-caudal in 61.6%, followed by strictly caudal in 16.6%. The brachial plexus was injured in 46 patients (76.6%) and isolated nerve damage was documented in 14 patients (23.3%). Electroneurographic examinations were performed in less than half of the patients (38.3%). Conclusion A combination injury of shoulder dislocation and plexus lesion may occur at any age and sometimes has a poor outcome. Electroneurographic examinations should be implemented when managing these patients as a cost-effective and supportive examination. Level of evidence Level IV, retrospective study.

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Section: Introductionmentioning

confidence: 99%

“…In more complex cases, i.e. complete nerve disruption or root rupture, neurosurgery may be necessary [ 18 , 19 ].…”

Section: Introductionmentioning

confidence: 99%

Incidence, diagnostics and treatment algorithm of nerve lesions after traumatic shoulder dislocations: a retrospective multicenter study

Tiefenboeck

Zeilinger

Komjati

et al. 2020

Arch Orthop Trauma Surg

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“…The diagnosis of nerve injury is usually clinical, based on a thorough neurological examination assessing strength, sensation, and deep tendon reflexes. Imaging techniques such as ultrasound, electromyography (EMG), and magnetic resonance imaging (MRI) may be useful if there are signs of severe or persistent nerve injury [ 8 ]. In particular, EMG remains controversial, with some studies showing a higher incidence of nerve lesions after shoulder dislocation [ 6 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

Nerve Injuries after Glenohumeral Dislocation, a Systematic Review of Incidence and Risk Factors

Lorente

Mariscal

Barrios

et al. 2023

JCM

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Glenohumeral dislocation is a common shoulder injury that can result in nerve injury. However, the full impact of these injuries on patient function and recovery remains unclear. This systematic review aimed to determine (1) the incidence, (2) risk factors, and (3) functional outcomes following nerve injuries after glenohumeral dislocation. The study followed PRISMA guidelines and used the PICO strategy. PubMed, EMBASE, Scopus, and Cochrane Collaboration Library databases were searched for studies. Two reviewers independently assessed the study eligibility, and data extraction was conducted by two authors. The quality of included studies was assessed using the Methodological Index for Non-Randomized Studies (MINORS) criteria. Thirteen studies comprising 17,087 patients were included. The incidence of nerve injury ranged from 0.4% to 65.5%, with the axillary nerve being most commonly affected. The time to reduction did not significantly affect the incidence of nerve injury. The mechanism of injury, the affected side, associated injuries, and recovery time were found to be potential risk factors for nerve injury. Motor recovery was incomplete in many patients, and sensory recovery was less complete. By synthesizing the available evidence, this systematic review underscores the importance of considering nerve injury in the management of patients with glenohumeral dislocations. Future research can build on these findings to develop targeted prevention and treatment approaches that optimize patient outcomes.

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Recombinant peptide derived from the venom the Phoneutria nigriventer spider relieves nociception by nerve deafferentation

et al. 2020

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Traumatische Läsionen des Plexus brachialis

Cited by 4 publications

References 29 publications

Incidence, diagnostics and treatment algorithm of nerve lesions after traumatic shoulder dislocations: a retrospective multicenter study

Incidence, diagnostics and treatment algorithm of nerve lesions after traumatic shoulder dislocations: a retrospective multicenter study

Nerve Injuries after Glenohumeral Dislocation, a Systematic Review of Incidence and Risk Factors

Recombinant peptide derived from the venom the Phoneutria nigriventer spider relieves nociception by nerve deafferentation

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