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Brachial Plexus Neuropathy after Revision of Clavicular Fracture Nonunion: A Case Report
Journal of the Korean Fracture Society ; : 22-26, 2020.
Article in English | WPRIM | ID: wpr-811284
ABSTRACT
We performed a revisionary open reduction and internal fixation for treating nonunion of the mid-shaft of the left clavicle with an autogenous cancellous bone graft. On postoperative day 4, the patient presented with neurologic deficits in the left upper extremity. We removed the implant and made a superior angulation to decompress the brachial plexus. At 6 months postoperatively, callus bridging and consolidation were visible and all hand and elbow functions were fully recovered. Our case suggests that brachial plexus neuropathy may be caused by stretching and compression after reduction and straightening of the nonunion site around adhesions or scar tissue. Therefore, care should be taken whether there are the risk factors that can cause brachial plexus neuropathy when revision surgery is performed for treating nonunion of a clavicle shaft fracture.
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Full text: Available Index: WPRIM (Western Pacific) Main subject: Brachial Plexus / Bony Callus / Risk Factors / Cicatrix / Clavicle / Transplants / Brachial Plexus Neuropathies / Upper Extremity / Elbow / Hand Type of study: Etiology study / Risk factors Limits: Humans Language: English Journal: Journal of the Korean Fracture Society Year: 2020 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Brachial Plexus / Bony Callus / Risk Factors / Cicatrix / Clavicle / Transplants / Brachial Plexus Neuropathies / Upper Extremity / Elbow / Hand Type of study: Etiology study / Risk factors Limits: Humans Language: English Journal: Journal of the Korean Fracture Society Year: 2020 Type: Article