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Radial Nerve Palsy After Arthroscopic Anterior Capsular Release for Degenerative Elbow Contracture

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Author(s)
조철현강철형
Alternative Author(s)
Cho, Chul HyunKang, Chul Hyung
Publication Year
2007
Abstract
Because the use of arthroscopy has increased recently for the treatment of elbow lesions,
reports of complications have become more common. Nerve injury after arthroscopic anterior
capsular release is an extremely rare complication, with 4 reported cases worldwide. We usually use
a sharp-tipped electrocautery device with a 0.5-mm diameter during arthroscopic capsular release. In
this case, because the former was not prepared, we used a ball-tipped electrocautery device with a
3-mm diameter. Herein, we experienced a case of radial nerve palsy after arthroscopic anterior
capsular release using a ball-tipped electrocautery device on a degenerative elbow contracture. We
supposed that the electrocautery device caused transiently thermal injury of the radial nerve despite
proper portal entry site, intra-articular distension, and gentle arthroscopic manipulation. Elbow
arthroscopy remains a technically difficult procedure with the potential for neurologic complications.
To perform surgery safely, knowledge of the regional neuroanatomy and a thorough understanding
of proper instrument usage are required. Key Words: Elbow—Radial nerve palsy—Arthroscopy—
Capsular release.
Department
Dept. of Orthopedic Surgery (정형외과학)
Publisher
School of Medicine
Citation
Arthroscopy, Vol.23(12) : 1360.e1-1360.e3, 2007
Type
Article
ISSN
0749-8063
DOI
10.1016/j.arthro.2006.11.021
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/35108
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