Cutaneous paresthesia after internal plate fixation of clavicle fractures and underlying anatomical observations

Ou, Luanhai; Liu, Yang; Zhao, Jinmin; Su, Wei

doi:10.1097/md.0000000000012729

Cited by 8 publications

(12 citation statements)

References 29 publications

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“…Over two thirds of our patients experienced some degree of improvement in both intensity and affected area which is consistent with previously reported trend of sensory improvement over time [ 23 , 28 , 29 , 33 , 35 ] though the underlying mechanism remains unclear (reinnervation by proximal injured branches or collateral branches). Shukla and co-workers [ 19 ] reported an association between perceived cosmetic outcome and overall satisfaction.…”

Section: Discussionsupporting

confidence: 92%

“…Incidence varies widely from 6 to 90% (Appendix I). There is a consistent trend of improvement over time, though without full resolution for all patients [11,19,[23][24][25][26][27][28][29][30][31][32][33][34][35][36]. Previous groups have demonstrated good outcomes despite high prevalence of numbness leading them to refute correlation between numbness and patient satisfaction [19,23,31]; whereas You et al [29] concluded that conventional approaches led to discomfort in 74.3% of their patients.…”

Section: Introductionmentioning

confidence: 93%

“…There is a consistent trend of improvement over time, though without full resolution for all patients [11,19,[23][24][25][26][27][28][29][30][31][32][33][34][35][36]. Previous groups have demonstrated good outcomes despite high prevalence of numbness leading them to refute correlation between numbness and patient satisfaction [19,23,31]; whereas You et al [29] concluded that conventional approaches led to discomfort in 74.3% of their patients. The impact of sensory disturbances on patients' outcomes has not been well elucidated.…”

Section: Introductionmentioning

confidence: 93%

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Incisional paresthesia following clavicle plate fixation: does it matter to patients?

Lemieux

Afsharpour

Nam

et al. 2021

BMC Musculoskelet Disord

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Background Operative management of clavicle fractures is increasingly common. In the context of explaining the risks and benefits of surgery, understanding the impact of incisional numbness as it relates to the patient experience is key to shared decision making. This study aims to determine the prevalence, extent, and recovery of sensory changes associated with supraclavicular nerve injury after open reduction and plate internal fixation of middle or lateral clavicle shaft fractures. Methods Eighty-six patients were identified retrospectively and completed a patient experience survey assessing sensory symptoms, perceived post-operative function, and satisfaction. Correlations between demographic factors and outcomes, as well as subgroup analyses were completed to identify factors impacting patient satisfaction. Results Ninety percent of patients experienced sensory changes post-operatively. Numbness was the most common symptom (64%) and complete resolution occurred in 32% of patients over an average of 19 months. Patients who experienced burning were less satisfied overall with the outcome of their surgery whereas those who were informed of the risk of sensory changes pre-operatively were more satisfied overall. Conclusions Post-operative sensory disturbance is common. While most patients improve, some symptoms persist in the majority of patients without significant negative effects on satisfaction. Patients should always be advised of the risk of persistent sensory alterations around the surgical site to increase the likelihood of their satisfaction post-operatively.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 93%

Section: Introductionmentioning

confidence: 93%

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Incisional paresthesia following clavicle plate fixation: does it matter to patients?

Lemieux

Afsharpour

Nam

et al. 2021

BMC Musculoskelet Disord

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“…Em relação aos NSC, seu ramo anterior ou medial inerva a pele próxima ao ângulo esternal lateral. O médio ou intermediário supre a pele da região próxima da linha axilar anterior, enquanto o ramo posterior ou lateral passa nas proximidades do acrômio, contribuindo para a sensibilidade próxima ao músculo deltoide, no ombro (GREENGRASS et al, 2019;OU et al, 2018).…”

Section: Discussionunclassified

“…Devido às proximidades dos NSC à clavícula e à sua superficialidade, torna seus ramos nervosos vulneráveis às lesões em casos de fratura clavicular ou no acesso cirúrgico ao ombro e à região cervical lateral (LABRONICI et al, 2013;OU et al, 2018). Nesse sentido, parestesia sensorial cutânea é frequente após cirurgias de reparo clavicular, em alguns casos, a dormência pode persistir por até dois anos no pós-operatório (OU et al, 2018). Também podem ocorrer alterações de sensibilidade na região anterior do tórax (LABRONICI et al, 2013).…”

Section: Discussionunclassified

Dissecção Do Plexo Cervical Na Formação Médica: Aplicabilidades Clínicas E Cirúrgicas

Felipe¹,

Fornaziero²,

Gouvêa-e-Silva³

et al. 2021

Arq. Ciênc. Saúde Unipar

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A Anatomia da região cervical é de particular importância para os cirurgiões e clínicos de diversas especialidades médicas. Em se tratando da organização nervosa presente na região anterolateral do pescoço, encontra-se o plexo cervical, formado pelos ramos anteriores dos nervos cervicais C1 a C4, cuja função é promover a sensibilidade da pele anterolateral cervical, torácica anterossuperior e do couro cabeludo posterior, na cabeça, além de controlar a musculatura infra-hióidea e diafragmática. Logo, lesões a essa estrutura nervosa e aos seus ramos podem causar graves complicações ao corpo humano. Esse trabalho objetivou utilizar a dissecção da região anterolateral do pescoço como uma ferramenta pedagógica para o estudo das relações anatômicas dos nervos do plexo cervical observados durante essa prática, assim como relatar algumas de suas importâncias clínicas e cirúrgicas. O presente estudo é caracterizado como qualitativo/descritivo. A dissecação foi realizada semanalmente, durante o segundo semestre de 2018 e o primeiro semestre de 2019, com a supervisão do professor responsável e auxílio do técnico de laboratório, no Laboratório de aulas práticas da Universidade Estadual de Londrina (UEL). Considera-se que a dissecção da região anterolateral do pescoço permitiu a visualização de diversos nervos cutâneos e musculares do plexo cervical, assim como de alguns de seus ramos e suas relações anatômicas. Também contribuiu para o conhecimento da topografia em que se encontravam tais estruturas e sua organização em camadas. Esse conhecimento anatômico é essencial para a prática médica, tanto clínica quanto cirúrgica.

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Claviculaschaftfrakturen im Kindes- und Jugendalter

et al. 2022

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Cutaneous paresthesia after internal plate fixation of clavicle fractures and underlying anatomical observations

Abstract: Supplemental Digital Content is available in the text

Cited by 8 publications

References 29 publications

Incisional paresthesia following clavicle plate fixation: does it matter to patients?

Incisional paresthesia following clavicle plate fixation: does it matter to patients?

Dissecção Do Plexo Cervical Na Formação Médica: Aplicabilidades Clínicas E Cirúrgicas

Claviculaschaftfrakturen im Kindes- und Jugendalter

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