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Review
. 2023 Jan 6;11(1).
doi: 10.2106/JBJS.RVW.22.00161. eCollection 2023 Jan 1.

Iatrogenic Nerve Injuries of the Upper Extremity: A Critical Analysis Review

Christopher S Crowe  1 , Alexander Y Shin  2 , Nicholas Pulos  2
Affiliations
Review

Iatrogenic Nerve Injuries of the Upper Extremity: A Critical Analysis Review

Christopher S Crowe et al. JBJS Rev. .

Abstract

»: Iatrogenic nerve injuries may occur after any intervention of the upper extremity.

»: Causes of iatrogenic nerve lesions include direct sharp or thermal injury, retraction, compression from implants or compartment syndrome, injection, patient positioning, radiation, and cast/splint application, among others.

»: Optimal treatment of iatrogenic peripheral nerve lesions relies on early and accurate diagnosis.

»: Advanced imaging modalities (e.g., ultrasound and magnetic resonance imaging) and electrodiagnostic studies aid and assist in preoperative planning.

»: Optimal treatment of iatrogenic injuries is situation-dependent and depends on the feasibility of direct repair, grafting, and functional transfers.

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Conflict of interest statement

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSREV/A897).

References

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    1. Kretschmer T, Antoniadis G, Braun V, Rath SA, Richter HP. Evaluation of iatrogenic lesions in 722 surgically treated cases of peripheral nerve trauma. J Neurosurg. 2001;94(6):905-12.
    1. Müller-Vahl H. Iatrogenic lesions of peripheral nerves in surgery [in German]. Langenbecks Arch Chir. 1984;364:321-3.
    1. Antoniadis G, Kretschmer T, Pedro MT, König RW, Heinen CP, Richter HP. Iatrogenic nerve injuries: prevalence, diagnosis and treatment. Dtsch Arztebl Int. 2014;111(16):273-9.
    1. Pulos N, Shin EH, Spinner RJ, Shin AY. Management of iatrogenic nerve injuries. J Am Acad Orthop Surg. 2019;27(18):e838-48.

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