Incidence, Etiology, and Management of Long Thoracic and Accessory Nerve Injuries and Winging Scapula.
Etiology
Incidence
Nerve Injury
Shoulder Movements
Winging Scapula
Journal
Eplasty
ISSN: 1937-5719
Titre abrégé: Eplasty
Pays: United States
ID NLM: 101316107
Informations de publication
Date de publication:
2021
2021
Historique:
entrez:
23
5
2022
pubmed:
24
5
2022
medline:
24
5
2022
Statut:
epublish
Résumé
Peripheral nerve injuries make up many upper extremity musculoskeletal disorders (UE-MSDs), as peripheral nerves in the upper extremities are susceptible to damage due to their superficial course and length. The health and economic burdens of peripheral nerve injuries are rising. Upper-limb peripheral nerve injuries caused by prone positioning in COVID-19 patients in intensive care have occurred during the current global pandemic. Understanding the incidence and causation of these injuries is essential, as these affect primarily young workers and athletes with skeletal immaturity and contribute to significant morbidity. A total of 789 patients, 481 of whom were male and 308 female, with limited upper-extremity movements, scapular winging, and pain due to upper brachial plexus, long thoracic and accessory nerve injuries (459 right, 282 left, and 48 bilateral) were included in the study. Patient age at the onset of injury ranged between 11 months and 68 years. A total of 18 causes of peripheral nerve injury were identified among the 789 patients with UE-MSD. The most affected patients (12.7%) were involved in sports and related activities, with 20 different sports and related activities reported in this patient population. Weightlifting caused the most (10.9%) number of injuries in this group. Incidences in the least affected patients were due to massage and viral infection, at 0.6% and 0.6% respectively. Sports and recreational-related physical activities are essential components of a healthy lifestyle, and may help decrease the incidence of obesity, diabetes, and cardiovascular diseases. Injury and fear of impairment, however, can be barriers in the participation of these activities. Surgery and other interventions can help maximize return to work and regular activities after UE-MSDs.
Sections du résumé
Background
UNASSIGNED
Peripheral nerve injuries make up many upper extremity musculoskeletal disorders (UE-MSDs), as peripheral nerves in the upper extremities are susceptible to damage due to their superficial course and length. The health and economic burdens of peripheral nerve injuries are rising. Upper-limb peripheral nerve injuries caused by prone positioning in COVID-19 patients in intensive care have occurred during the current global pandemic. Understanding the incidence and causation of these injuries is essential, as these affect primarily young workers and athletes with skeletal immaturity and contribute to significant morbidity.
Methods and Patients
UNASSIGNED
A total of 789 patients, 481 of whom were male and 308 female, with limited upper-extremity movements, scapular winging, and pain due to upper brachial plexus, long thoracic and accessory nerve injuries (459 right, 282 left, and 48 bilateral) were included in the study. Patient age at the onset of injury ranged between 11 months and 68 years.
Results
UNASSIGNED
A total of 18 causes of peripheral nerve injury were identified among the 789 patients with UE-MSD. The most affected patients (12.7%) were involved in sports and related activities, with 20 different sports and related activities reported in this patient population. Weightlifting caused the most (10.9%) number of injuries in this group. Incidences in the least affected patients were due to massage and viral infection, at 0.6% and 0.6% respectively.
Conclusions
UNASSIGNED
Sports and recreational-related physical activities are essential components of a healthy lifestyle, and may help decrease the incidence of obesity, diabetes, and cardiovascular diseases. Injury and fear of impairment, however, can be barriers in the participation of these activities. Surgery and other interventions can help maximize return to work and regular activities after UE-MSDs.
Types de publication
Journal Article
Langues
eng
Pagination
e11Informations de copyright
© 2022, HMP Global. All rights reserved. Reproduction in whole or in part prohibited. Content may not be reproduced in any form without written permission. Rights, Permission, Reprint, and Translation information is available at www.hmpglobal.com.
Déclaration de conflit d'intérêts
Disclosure: The authors disclose no financial or other conflicts of interest.
Références
Hand Clin. 1999 Nov;15(4):757-67
pubmed: 10563274
J Bone Joint Surg Am. 2019 Aug 21;101(16):e80
pubmed: 31436660
Neurosurg Rev. 2020 Apr;43(2):443-452
pubmed: 30014280
Eplasty. 2019 Apr 25;19:e15
pubmed: 31080543
Acta Neurochir (Wien). 2012 Jul;154(7):1293-7
pubmed: 22302237
Neurosurgery. 2002 Sep;51(3):673-82; discussion 682-3
pubmed: 12188945
J Bone Joint Surg Am. 2000 May;82(5):652-66
pubmed: 10819276
Neurosurgery. 2007 Nov;61(5):1016-22; discussion 1022-3
pubmed: 18091278
J Hand Ther. 2020 Oct - Dec;33(4):528-539
pubmed: 32156574
J Hand Surg Glob Online. 2020 Mar;2(2):77-79
pubmed: 32864587
Phys Ther. 2021 Jan 4;101(1):
pubmed: 33395478
BMC Musculoskelet Disord. 2007 Mar 07;8:25
pubmed: 17343759
Neurosurgery. 1997 Jun;40(6):1182-8; discussion 1188-9
pubmed: 9179891
Indian J Plast Surg. 2012 Sep;45(3):498-503
pubmed: 23449838
World Neurosurg. 2019 Mar;123:e488-e500
pubmed: 30502477
Neurosurgery. 2008 Apr;62(4):873-85; discussion 885-6
pubmed: 18496193
Hand Clin. 2005 Feb;21(1):13-24
pubmed: 15668062
ISRN Orthop. 2014 Feb 09;2014:726103
pubmed: 24967130
Plast Reconstr Surg Glob Open. 2017 Aug 10;5(8):e1481
pubmed: 28894676