Case of brachial plexus injury after surgery for Clavicle fracture: A report
Dr Zhenyu Cao and team has reported a case of brachial plexus injury caused by Open reduction and internal fixation (ORIF) of a clavicle fracture. If not treated in time, the function of the brachial plexus is affected in such cases leading to upper limb dysfunction seriously affecting the patient's quality of life.
The incidence of Clavicle fractures is approximately 2.6 percent of all fractures. The peak incidence occurs in children and young adults.
The case study has been published in BMC surgery.
The objective of the case presentation was to emphasize that clavicle surgery was an important cause of brachial plexus injury so that care may be taken to prevent nerve injury.
The researchers presented a case study of a 34-year-old female patient was admitted to the hospital for 13 h due to the right shoulder movement restriction after a fall. Due to the significant displacement of the fracture, ORIF was used to treat the fracture. The surgery was a success. They stated anaesthesia effect subsided 12 h after the operation, the patient developed right brachial plexus injury symptoms, decreased right upper limb muscle strength, dysfunction, and hypoesthesia. Symptomatic treatments, such as nourishing nerve and electrical stimulation, were given immediately. Sixty days after the operation, the patient's brachial plexus injury symptoms disappeared, and the function of the right upper limb returned to the preoperative state.
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