Brachial Plexus Compression from a Malpositioned Chest Tube after Thoracotomy

Mangar, Devanand; Kelly, Dennis L.; Holder, Donovan O.; Camporesi, Enrico M.

doi:10.1097/00000542-199104000-00023

Cited by 8 publications

(5 citation statements)

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“…Several surgical procedures including first rib resection, lung surgery, transaxillary thoracotomy, and chest tube placement might cause injury to the long thoracic nerve [4,17]. Our results showed a significant late union in 18 cases (33.3%).…”

Section: Discussionmentioning

confidence: 68%

Variations of the origin of collateral branches emerging from the posterior aspect of the brachial plexus

Ballesteros

Ramírez

2014

J Brachial Plex Peripher Nerve Inj

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BackgroundThe frequency of variation found in the arrangement and distribution of the branches in the brachial plexus, make this anatomical region extremely complicated. The medical concerns involved with these variations include anesthetic blocks, surgical approaches, interpreting tumor or traumatic nervous compressions having unexplained clinical symptoms (sensory loss, pain, wakefulness and paresis), and the possibility of these structures becoming compromised. The clinical importance of these variations is discussed in the light of their differential origins.MethodsThe anatomy of brachial plexus structures from 46 male and 11 female cadaverous specimens were studied. The 40–80 year-old specimens were obtained from the Universidad Industrial de Santander's Medical Faculty's Anatomy Department (dissection laboratory). Parametric measures were used for calculating results.ResultsAlmost half (47.1%) of the evaluated plexuses had collateral variations. Subscapular nerves were the most varied structure, including the presence of a novel accessory nerve. Long thoracic nerve variations were present, as were the absence of C5 or C7 involvement, and late C7 union with C5–C6.ConclusionFurther studies are needed to confirm the existence of these variations in a larger sample of cadaver specimens.

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Section: Discussionmentioning

confidence: 68%

Variations of the origin of collateral branches emerging from the posterior aspect of the brachial plexus

Ballesteros

Ramírez

2014

J Brachial Plex Peripher Nerve Inj

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“…Review of abstracts (Fig. 1) led to 155 papers selected for further review, and subsequent review of manuscripts identified 124 case reports [7–130] detailing ectopic TT placement, or placement that resulted in patient harm. Our proposed classification algorithm was used to classify the manuscript complications.…”

Section: Resultsmentioning

confidence: 99%

Tube Thoracostomy: A Structured Review of Case Reports and a Standardized Format for Reporting Complications

et al. 2015

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“…The plexus may be primarily damaged (e.g., by car or motorcycle accidents, traction injuries, median sternotomies in cardiac operations, internal jugular vein cannulation, occult fractures of the first or second ribs, or gunshot wounds) or secondarily involved by disease processes that either affect the axillary contents (e.g., abnormal lymph nodes or axillary fibroses) or spread from neighboring structures such as bone, muscle, breast, or lung (2,8,10,20,22,25,28,40). The incidence of BP birth injuries varies from 1 to 2 per 1000 live births (35).…”

mentioning

confidence: 99%