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Brachial Plexus Injuries Associated With Open Subpectoral Biceps Tenodesis

A Report of Two Cases

Ransom, Erin F. MD1; Ficke, Brooks MD2; Ponce, Brent A. MD1; Meyer, Richard D. MD1

doi: 10.2106/JBJS.CC.18.00392
Case Reports

Case: We report 2 cases of brachial plexus injury after open subpectoral biceps tenodesis. In 1 patient, the nerves likely sustained a stretch injury related to retractor use. In the other patient, multiple nerves were severed, and we hypothesize that they were caught in a drill bit.

Conclusions: To decrease the risk of nerve injury due to traction or inadvertent wrapping of nerves in the drill bit or tenodesis screw, we recommend careful retractor use and tendon fixation techniques that use a protective sleeve during both drilling and fixation.

1University of Alabama-Birmingham, Birmingham, Alabama

2Resurgens Orthopaedics, Atlanta, Georgia

E-mail address for R.D. Meyer:

Investigation performed at University of Alabama-Birmingham, Birmingham, Alabama

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (

Copyright © 2019 by The Journal of Bone and Joint Surgery, Incorporated
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