Pretražite po imenu i prezimenu autora, mentora, urednika, prevoditelja

Napredna pretraga

Pregled bibliografske jedinice broj: 923916

MIPO of proximal humerus fractures through an anterolateral acromial approach. Is the axillary nerve at risk?


Knežević, Josip; Mihalj, Mario; Čukelj, Fabijan; Ivanišević, Arsen
MIPO of proximal humerus fractures through an anterolateral acromial approach. Is the axillary nerve at risk? // Injury, 48 (2017), S5; S15-S20 doi:10.1016/S0020-1383(17)30733-7 (međunarodna recenzija, članak, znanstveni)


CROSBI ID: 923916 Za ispravke kontaktirajte CROSBI podršku putem web obrasca

Naslov
MIPO of proximal humerus fractures through an anterolateral acromial approach. Is the axillary nerve at risk?

Autori
Knežević, Josip ; Mihalj, Mario ; Čukelj, Fabijan ; Ivanišević, Arsen

Izvornik
Injury (0020-1383) 48 (2017), S5; S15-S20

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
axillary nerve, proximal humerus, nerve injury, MIPO, locking plate, electromyoneurography

Sažetak
It is known that shoulder surgery may cause iatrogenic injury to the axillary nerve as a serious complication, but there is little evidence to indicate whether the axillary nerve is at risk of injury during an anterolateral acromial approach for minimally-invasive plate osteosynthesis (MIPO) of proximal humerus fractures. We hypothesised that this surgical method is safe for the axillary nerve and would preserve it from iatrogenic injury. We conducted a prospective follow-up cohort study on 49 consecutive patients with proximal humerus fractures who were managed with MIPO through an anterolateral approach. All patients underwent standardised electroneurographic testing, with assessment of amplitudes of evoked compound muscle action potentials (CMAP) and distal motor latencies (DML) of the axillary nerves, pre- and post-operatively. Six weeks after injury, all patients underwent needle electromyographic (EMG) testing of anterior, middle, posterior deltoid, teres minor and paraspinal muscles for detecting abnormal muscle activity as a sign of acute denervation. After six months of physical rehabilitation, patients with axillary nerve injury underwent control electroneurographic testing to check the recovery of neurographic features (CMAP, DML). All nerve measurements were compared to reference values, and between right and left side. Results Five patients had a mild-to-moderate traumatic axillary nerve injury before surgery. There were no significant differences between amplitudes of CMAP (p = 0.575) and DML (p = 0.857) pre- and post-surgical procedure. These results confirmed safety of this surgical method in the preservation of axillary nerve from iatrogenic injury, but the course of the axillary nerve must be kept in mind.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

Napomena
This supplement - "Clinical and anatomical studies" - was supported by the Croatian Trauma Society ; Bore Bakota (Ed.) ; (S1-S72).



POVEZANOST RADA


Ustanove:
KBC Split,
Medicinski fakultet, Split

Profili:

Avatar Url Arsen Ivanišević (autor)

Avatar Url Mario Mihalj (autor)

Citiraj ovu publikaciju

Knežević, Josip; Mihalj, Mario; Čukelj, Fabijan; Ivanišević, Arsen
MIPO of proximal humerus fractures through an anterolateral acromial approach. Is the axillary nerve at risk? // Injury, 48 (2017), S5; S15-S20 doi:10.1016/S0020-1383(17)30733-7 (međunarodna recenzija, članak, znanstveni)
Knežević, J., Mihalj, M., Čukelj, F. & Ivanišević, A. (2017) MIPO of proximal humerus fractures through an anterolateral acromial approach. Is the axillary nerve at risk?. Injury, 48 (S5), S15-S20 doi:10.1016/S0020-1383(17)30733-7.
@article{article, year = {2017}, pages = {S15-S20}, DOI = {10.1016/S0020-1383(17)30733-7}, keywords = {axillary nerve, proximal humerus, nerve injury, MIPO, locking plate, electromyoneurography}, journal = {Injury}, doi = {10.1016/S0020-1383(17)30733-7}, volume = {48}, number = {S5}, issn = {0020-1383}, title = {MIPO of proximal humerus fractures through an anterolateral acromial approach. Is the axillary nerve at risk?}, keyword = {axillary nerve, proximal humerus, nerve injury, MIPO, locking plate, electromyoneurography} }

Časopis indeksira:


  • Current Contents Connect (CCC)
  • Web of Science Core Collection (WoSCC)
    • Science Citation Index Expanded (SCI-EXP)
    • SCI-EXP, SSCI i/ili A&HCI
  • Scopus
  • MEDLINE


Uključenost u ostale bibliografske baze podataka:


  • EMBASE (Excerpta Medica)


Citati





    Contrast
    Increase Font
    Decrease Font
    Dyslexic Font