Overtreatment in Surgery: Discussion Paper

Fowkes, F. G. R.

doi:10.1177/014107688507800610

Cited by 4 publications

(1 citation statement)

References 23 publications

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“…Many of these publications focus on abdominal surgery. 10 Popular media outlets, such as healthcare and news websites, cover this topic narrowly, predominantly discussing breast and prostate surgeries. 11,12 Overtreatment via surgery leads to increased spending and could lead to increased morbidities associated with potentially unnecessary procedures.…”

Section: Case Presentationmentioning

confidence: 99%

Modification of Tendon Transfer Surgery for Radial Nerve Palsy due to Pre-operatively Observed, Unexpected Partial Return of Wrist Extension

Calotta¹,

Deune²

2015

AMSRJ

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Herein we present the case of a 78-year-old female who suffered a radial nerve injury following her third left shoulder arthroplasty. At first follow-up two and a half weeks following shoulder surgery, she presented with left arm weakness and profound, persistent hand weakness. This was diagnosed as complete radial nerve palsy. After three months, the patient still had no return of function. At that point, she became a candidate for tendon transfer surgery to remediate her complete radial nerve palsy. At six months post-arthroplasty, it was noted on exam that she unexpectedly regained weak wrist extension two weeks before her scheduled three tendon transfer surgery. The decision was made to proceed with a modified two tendon transfer procedure. Surgery is the most reliable treatment to restore function, but it must be tailored for each patient's specific needs. A current assessment of the patient's reconstructive needs must be performed to prevent overtreatment.

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Section: Case Presentationmentioning

confidence: 99%