دورية أكاديمية
أعرض في EDS

Electromyographic axillary nerve injury in fractures of the proximal humerus: Prospective, observational study, analysing the fracture pattern.

التفاصيل البيبلوغرافية
العنوان: Electromyographic axillary nerve injury in fractures of the proximal humerus: Prospective, observational study, analysing the fracture pattern.
عنوان ترانسليتريتد: Lesión electromiográfica del nervio axilar en fracturas del extremo proximal del húmero. Estudio prospectivo, observacional, analizando el patrón de fractura.
المؤلفون: Pena Larrea L; Departamento de Traumatología y Cirugía Ortopédica del Hospital Universitario San Agustín, Avilés, España. Electronic address: lorenapena89@gmail.com., López-Anglada Fernández E; Departamento de Traumatología y Cirugía Ortopédica del Hospital Universitario Central de Asturias, Oviedo, España., Pena Vázquez J; Departamento de Traumatología y Cirugía Ortopédica del Hospital Universitario Central de Asturias, Oviedo, España., Pérez Morala AB; Departamento de Neurofisiología del Hospital Universitario Central de Asturias, Oviedo, España., Braña Vigil AF; Departamento de Traumatología y Cirugía Ortopédica del Hospital Universitario Central de Asturias, Oviedo, España.
المصدر: Revista espanola de cirugia ortopedica y traumatologia [Rev Esp Cir Ortop Traumatol] 2024 Mar-Apr; Vol. 68 (2), pp. 91-96. Date of Electronic Publication: 2023 Mar 09.
نوع المنشور: Journal Article
اللغة: English; Spanish; Castilian
بيانات الدورية: Publisher: Elsevier Doyma Country of Publication: Spain NLM ID: 101477399 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1988-8856 (Electronic) Linking ISSN: 18884415 NLM ISO Abbreviation: Rev Esp Cir Ortop Traumatol Subsets: PubMed not MEDLINE; MEDLINE
أسماء مطبوعة: Original Publication: Barcelona : Elsevier Doyma
مستخلص: Objective: Description and analysis of the relation between the proximal humerus fracture patterns and the traumatic injury of the axillary nerve.
Material and Method: Prospective, observational study of a consecutive case series that analyzed proximal humerus fractures. Radiographic evaluation was performed, and AO (Arbeitsgemeinshaft für Osteosynsthesefragen) system was used to classify the fractures. Electromyography was used to diagnose the axillary nerve injury.
Results: Thirty-one patients on 105 who had a proximal humerus fracture met inclusion criteria. Eighty-six percent of the patients included were women and 14% men. The mean age was 71.8 years (30-96 years). Of the patients included in the study, 58% had normal or mild axonotmesis EMG, 23% had axillary nerve neuropathy without muscle denervation and 19% had injury with axillary nerve denervation. Patients who suffered complex fractures of the proximal humerus (AO11B and AO11C) had a higher risk of presenting axillary neuropathy type lesions with muscle denervation in the EMG, this relationship being statistically significant (p<0.001).
Conclusion: Patients who have more risk on presenting axillary nerve neuropathy with muscle denervation in electromyography are those who present complex proximal humerus fractures AO11B and AO11C (p<0.001).
(Copyright © 2023 SECOT. Publicado por Elsevier España, S.L.U. All rights reserved.)
فهرسة مساهمة: Keywords: Axillary nerve; Daño neurológico; Denervación; Denervation; Electromiografía; Electromyography; Fractura de húmero proximal; Nervio circunflejo; Neurological damage; Proximal humerus fracture
تواريخ الأحداث: Date Created: 20230310 Latest Revision: 20240323
رمز التحديث: 20240324
DOI: 10.1016/j.recot.2023.03.003
PMID: 36898431
قاعدة البيانات: MEDLINE
الوصف
تدمد:1988-8856
DOI:10.1016/j.recot.2023.03.003