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Understanding and Treating Iatrogenic Nerve Injuries in Shoulder Surgery

Gupta, Ranjan MD; Patel, Nilay A. MD; Mazzocca, Augustus D. MD; Romeo, Anthony MD

Journal of the American Academy of Orthopaedic Surgeons: September 18, 2019 - Volume Publish Ahead of Print - Issue - p
doi: 10.5435/JAAOS-D-18-00608
Review Article: PDF Only

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.

From the Department of Orthopaedic Surgery, University of California, Irvine, CA (Dr. Gupta and Dr. Patel), the Department of Orthopaedic Surgery, University of Connecticut Health Center, Farmington, CT (Dr. Mazzocca), and the Department of Orthopaedic Surgery, Rothman Institute, New York, NY (Dr. Romeo).

None of the following authors or any immediate family member has received anything of value from or has stock or stock options held in a commercial company or institution related directly or indirectly to the subject of this article: Dr. Gupta, Dr. Patel, Dr. Mazzocca, and Dr. Romeo.

© 2019 by American Academy of Orthopaedic Surgeons
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