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Prevalence and risk...
Prevalence and risk factors for nerve injury following shoulder dislocation
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- Hardie, C.M. (författare)
- Leeds Institute for Medical Research, University of Leeds, Leeds, United Kingdom; Department of Plastic and Reconstructive Surgery, Leeds Teaching Hospitals Trust, Clarendon Wing, Leeds General Infimrary, Great George Street, Leeds, United Kingdom
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- Jordan, R. (författare)
- Faculty of Medicine and Health Sciences, University of Leeds, Leeds, United Kingdom
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- Forker, O. (författare)
- Faculty of Medicine and Health Sciences, University of Leeds, Leeds, United Kingdom
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- Fort-Schaale, A. (författare)
- Department of Plastic and Reconstructive Surgery, Leeds Teaching Hospitals Trust, Clarendon Wing, Leeds General Infimrary, Great George Street, Leeds, United Kingdom
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- Wade, R.G. (författare)
- Leeds Institute for Medical Research, University of Leeds, Leeds, United Kingdom; Department of Plastic and Reconstructive Surgery, Leeds Teaching Hospitals Trust, Clarendon Wing, Leeds General Infimrary, Great George Street, Leeds, United Kingdom
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- Jones, J. (författare)
- Department of Emergency Medicine, Leeds Teaching Hospitals Trust, Leeds, United Kingdom
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- Bourke, Grainne, 1970- (författare)
- Umeå universitet,Institutionen för integrativ medicinsk biologi (IMB),Leeds Institute for Medical Research, University of Leeds, Leeds, United Kingdom; Department of Plastic and Reconstructive Surgery, Leeds Teaching Hospitals Trust, Clarendon Wing, Leeds General Infimrary, Great George Street, Leeds, United Kingdom
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(creator_code:org_t)
- 2022-11-29
- 2023
- Engelska.
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Ingår i: Musculoskeletal Surgery. - : Springer. - 2035-5106 .- 2035-5114. ; 107:3, s. 345-350
- Relaterad länk:
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https://doi.org/10.1...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Background: The glenohumeral joint dislocation can be associated with major nerve injury. The reported prevalence and risk factors for major nerve injury are variable and this injury can have a severe and life-long impact on the patient. The objectives of this study were to analyse the prevalence of major nerve injury following shoulder dislocation and examine risk factors. Management and outcomes of nerve injury were explored.Methods: A 1 year retrospective cohort study of 243 consecutive adults who presented with a shoulder dislocation was performed. Data were collected on patient demographics, timings of investigations, treatment, follow-up, and nerve injury prevalence and management. The primary outcome measure was prevalence of nerve injury. Risk factors for this were analysed using appropriate tests with Stata SE15.1.Results: Of 243 patients with shoulder dislocation, 14 (6%) had neurological deficit. Primary dislocation (p = 0.004) and older age (p = 0.02) were significantly associated with major nerve injury. Sex, time to successful reduction and force of injury were not associated with major nerve injury in this cohort. Patients with nerve injury made functional recovery to varying degrees. Recurrent shoulder dislocation was common accounting for 133/243 (55%) attendances.Conclusions: Shoulder dislocation requires careful assessment and timely management in the ED. A 6% rate of nerve injury following shoulder dislocation was at the lower border of reported rates (5–55%), and primary dislocation and older age were identified as risk factors for nerve injury. We emphasise the importance of referring patients with suspected major nerve injury to specialist services.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Ortopedi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Orthopaedics (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
Nyckelord
- Brachial plexus
- Brachial plexus neuropathies
- Shoulder dislocation
- Upper extremity
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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