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Bilateral position-related ulnar neuropathy at elbow in pediatric population and review of the literature
M. Balikova, M. Neklanova, I. Sulla, M. Hönig, J. Halek, V. Mihal, V. Balik,
Jazyk angličtina Země Německo
Typ dokumentu časopisecké články, přehledy
- MeSH
- lidé MeSH
- loket inervace patologie MeSH
- management nemoci MeSH
- neuropatie nervus ulnaris * patologie terapie MeSH
- pediatrie MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
Perioperative ulnar neuropathies attributed to inappropriate arm positioning and padding during surgical procedures are commonly found in adults. However, their extremely rare incidence in the pediatric population may cause absent awareness of the risk of nerve injury in anesthetized pediatric patients. Furthermore, young patients respond to conservative treatment of neuropathy less favorably than adults and their response also depends on the pathomechanism of the ulnar nerve injury. A surgeon's or anesthetist's failure to recognize all of these specifics in children may result in substantial morbidity of young patients leading to lawsuits. Fortunately, with an adequate knowledge of surgical anatomy and types of procedures and positions in which the ulnar nerve is particularly vulnerable, and familiarity with measures to minimize the potential for neuropathy, this serious complication can be prevented. The aims of this review are to highlight personal experience and current knowledge of the rare position-related ulnar neuropathy, both from a clinical and anatomical-pathophysiological perspective, and to raise awareness about this rare but serious complication in the pediatric population.
Citace poskytuje Crossref.org
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- $a Balíková, Mariana $u Department of Pediatrics, University Hospital Olomouc and Faculty of Medicine and Dentistry, Palacky University, I. P. Pavlova 6, 775 20, Olomouc, Czech Republic. $7 xx0321417
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- $a Bilateral position-related ulnar neuropathy at elbow in pediatric population and review of the literature / $c M. Balikova, M. Neklanova, I. Sulla, M. Hönig, J. Halek, V. Mihal, V. Balik,
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- $a Perioperative ulnar neuropathies attributed to inappropriate arm positioning and padding during surgical procedures are commonly found in adults. However, their extremely rare incidence in the pediatric population may cause absent awareness of the risk of nerve injury in anesthetized pediatric patients. Furthermore, young patients respond to conservative treatment of neuropathy less favorably than adults and their response also depends on the pathomechanism of the ulnar nerve injury. A surgeon's or anesthetist's failure to recognize all of these specifics in children may result in substantial morbidity of young patients leading to lawsuits. Fortunately, with an adequate knowledge of surgical anatomy and types of procedures and positions in which the ulnar nerve is particularly vulnerable, and familiarity with measures to minimize the potential for neuropathy, this serious complication can be prevented. The aims of this review are to highlight personal experience and current knowledge of the rare position-related ulnar neuropathy, both from a clinical and anatomical-pathophysiological perspective, and to raise awareness about this rare but serious complication in the pediatric population.
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- $a Neklanova, Marta $u Department of Pediatrics, University Hospital Olomouc and Faculty of Medicine and Dentistry, Palacky University, I. P. Pavlova 6, 775 20, Olomouc, Czech Republic.
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