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Etiological and epidemiological characteristics of surgically treated radial nerve lesions: A 20-year single-center experience

INTRODUCTION: Radial nerve lesions present a clinical entity that may lead to disability, psychological distress, and job loss, and thus requires great attention. Knowledge of the etiology and exact mechanism of the nerve impairment is of great importance for appropriate management of these patients...

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Autores principales: Rasulić, Lukas, Đjurašković, Slavko, Lakićević, Novak, Lepić, Milan, Savić, Andrija, Grujić, Jovan, Mićić, Aleksa, Radojević, Stefan, Córdoba-Mosqueda, María Elena, Visani, Jacopo, Puzović, Vladimir, Kovačević, Vojin, Vitošević, Filip, Mandić-Rajčević, Stefan, Knezevic, Saša
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9530258/
https://www.ncbi.nlm.nih.gov/pubmed/36204344
http://dx.doi.org/10.3389/fsurg.2022.942755
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author Rasulić, Lukas
Đjurašković, Slavko
Lakićević, Novak
Lepić, Milan
Savić, Andrija
Grujić, Jovan
Mićić, Aleksa
Radojević, Stefan
Córdoba-Mosqueda, María Elena
Visani, Jacopo
Puzović, Vladimir
Kovačević, Vojin
Vitošević, Filip
Mandić-Rajčević, Stefan
Knezevic, Saša
author_facet Rasulić, Lukas
Đjurašković, Slavko
Lakićević, Novak
Lepić, Milan
Savić, Andrija
Grujić, Jovan
Mićić, Aleksa
Radojević, Stefan
Córdoba-Mosqueda, María Elena
Visani, Jacopo
Puzović, Vladimir
Kovačević, Vojin
Vitošević, Filip
Mandić-Rajčević, Stefan
Knezevic, Saša
author_sort Rasulić, Lukas
collection PubMed
description INTRODUCTION: Radial nerve lesions present a clinical entity that may lead to disability, psychological distress, and job loss, and thus requires great attention. Knowledge of the etiology and exact mechanism of the nerve impairment is of great importance for appropriate management of these patients, and there are only a few papers that focused on these features in patients with surgically treated radial nerve lesions. The lack of studies presenting the etiology and injury mechanisms of surgically treated radial nerve lesions may be due to a relatively small number of specialized referral centers, dispersion to low-flow centers, and a greater focus on the surgical treatment outcomes. AIM: The aim of this study was to describe the etiological and epidemiological characteristics of patients with surgically treated radial nerve lesions of various origins. METHODS: This retrospective study evaluated 147 consecutive patients with radial nerve lesion, treated in the department during the last 20 years, from January 1, 2001, until December 31, 2020. RESULTS: The majority of patients belonged to the working population, and 70.1% of them were male. Most commonly, the etiology of nerve lesion was trauma (63.3%) or iatrogenic injury (28.6%), while the less common origin was idiopathic (4.1%) or neoplastic (4.1%). The most frequent location of the lesion was in the upper arm, followed by the elbow and forearm. Fracture-related contusion was the most common mechanism (29.9%), followed by postoperative fibrosis (17.7%), lacerations (17.7%), and compression (15.6%). CONCLUSION: Based on the fact that traumatic or iatrogenic injuries constitute the majority of cases, with their relevant mechanisms and upper arm predomination, it is crucial to raise awareness and understanding of the radial nerve injuries among orthopedic surgeons to decrease the numbers of these patients and properly preserve or treat them within the initial surgery.
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spelling pubmed-95302582022-10-05 Etiological and epidemiological characteristics of surgically treated radial nerve lesions: A 20-year single-center experience Rasulić, Lukas Đjurašković, Slavko Lakićević, Novak Lepić, Milan Savić, Andrija Grujić, Jovan Mićić, Aleksa Radojević, Stefan Córdoba-Mosqueda, María Elena Visani, Jacopo Puzović, Vladimir Kovačević, Vojin Vitošević, Filip Mandić-Rajčević, Stefan Knezevic, Saša Front Surg Surgery INTRODUCTION: Radial nerve lesions present a clinical entity that may lead to disability, psychological distress, and job loss, and thus requires great attention. Knowledge of the etiology and exact mechanism of the nerve impairment is of great importance for appropriate management of these patients, and there are only a few papers that focused on these features in patients with surgically treated radial nerve lesions. The lack of studies presenting the etiology and injury mechanisms of surgically treated radial nerve lesions may be due to a relatively small number of specialized referral centers, dispersion to low-flow centers, and a greater focus on the surgical treatment outcomes. AIM: The aim of this study was to describe the etiological and epidemiological characteristics of patients with surgically treated radial nerve lesions of various origins. METHODS: This retrospective study evaluated 147 consecutive patients with radial nerve lesion, treated in the department during the last 20 years, from January 1, 2001, until December 31, 2020. RESULTS: The majority of patients belonged to the working population, and 70.1% of them were male. Most commonly, the etiology of nerve lesion was trauma (63.3%) or iatrogenic injury (28.6%), while the less common origin was idiopathic (4.1%) or neoplastic (4.1%). The most frequent location of the lesion was in the upper arm, followed by the elbow and forearm. Fracture-related contusion was the most common mechanism (29.9%), followed by postoperative fibrosis (17.7%), lacerations (17.7%), and compression (15.6%). CONCLUSION: Based on the fact that traumatic or iatrogenic injuries constitute the majority of cases, with their relevant mechanisms and upper arm predomination, it is crucial to raise awareness and understanding of the radial nerve injuries among orthopedic surgeons to decrease the numbers of these patients and properly preserve or treat them within the initial surgery. Frontiers Media S.A. 2022-09-20 /pmc/articles/PMC9530258/ /pubmed/36204344 http://dx.doi.org/10.3389/fsurg.2022.942755 Text en © 2022 Rasulić, Djuraskovic, Lakićević, Lepić, Savić, Grujić, Mićić, Radojevic, Cordoba Mosqueda, Visani, Puzovic, Kovačević, Vitošević, Mandic-Rajcevic and Knezevic. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Surgery
Rasulić, Lukas
Đjurašković, Slavko
Lakićević, Novak
Lepić, Milan
Savić, Andrija
Grujić, Jovan
Mićić, Aleksa
Radojević, Stefan
Córdoba-Mosqueda, María Elena
Visani, Jacopo
Puzović, Vladimir
Kovačević, Vojin
Vitošević, Filip
Mandić-Rajčević, Stefan
Knezevic, Saša
Etiological and epidemiological characteristics of surgically treated radial nerve lesions: A 20-year single-center experience
title Etiological and epidemiological characteristics of surgically treated radial nerve lesions: A 20-year single-center experience
title_full Etiological and epidemiological characteristics of surgically treated radial nerve lesions: A 20-year single-center experience
title_fullStr Etiological and epidemiological characteristics of surgically treated radial nerve lesions: A 20-year single-center experience
title_full_unstemmed Etiological and epidemiological characteristics of surgically treated radial nerve lesions: A 20-year single-center experience
title_short Etiological and epidemiological characteristics of surgically treated radial nerve lesions: A 20-year single-center experience
title_sort etiological and epidemiological characteristics of surgically treated radial nerve lesions: a 20-year single-center experience
topic Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9530258/
https://www.ncbi.nlm.nih.gov/pubmed/36204344
http://dx.doi.org/10.3389/fsurg.2022.942755
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