Understanding and Treating Iatrogenic Nerve Injuries in Shoulder Surgery.

J Am Acad Orthop Surg · Mar 01 2020 · Review

Gupta R, Patel NA, Mazzocca AD, Romeo A

From the Department of Orthopaedic Surgery, University of California, Irvine, NY (Dr. Romeo)

Shoulder & Elbow

SUMMARY — THE REDUCTIONReviews management of iatrogenic nerve injuries in shoulder surgery, stressing that early recognition, appropriate testing, and prompt treatment/referral optimize outcomes rather than watchful waiting.
Abstract, as published

As surgical techniques and technology continue to advance in shoulder surgery along with the increased use of regional anesthesia, it is important to remember that iatrogenic nerve injuries remain a possible complication. Iatrogenic nerve injuries associated with shoulder surgery lead to patient disability and distress, increased healthcare costs, and possibly additional procedures. To obtain the best possible outcome for the patient after the nerve injury has been discovered, a timely appreciation of the management options is necessary rather than expectant management. Early recognition, appropriate neurodiagnostic testing, and prompt treatment or referral are mandatory for optimal outcomes.

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