gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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Iatrogenic nerve injury following steroid injection for thumb basal joint arthritis – A rare complication

Meeting Abstract

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  • presenting/speaker Qureish Vanat - Queen Elizabeth Hospital NHS Trust, Birmingham, United Kingdom
  • Manish Gupta - Queen Elizabeth Hospital NHS Trust, Birmingham, United Kingdom
  • Dominic Power - Queen Elizabeth Hospital NHS Trust, Birmingham, United Kingdom

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-774

doi: 10.3205/19ifssh0193, urn:nbn:de:0183-19ifssh01938

Veröffentlicht: 6. Februar 2020

© 2020 Vanat et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.

Gliederung

Text

Objectives/Interrogation: Intra-articular steroid injections are commonly used for symptomatic relief in early degenerative arthritis (Eaton Grade 1 & 2) of the basal joint of thumb. This is considered a relatively safe procedure with few complications such as variable symptom relief, skin depigmentation and the occasional infection reported in literature.

Methods: We report and describe a case that was complicated with an iatrogenic injury to a branch of the superficial radial nerve. This was confirmed on surgical exploration. The neuroma was excised and the proximal nerve end was protected with a synthetic neural cap.

Results and Conclusions: This is a rare complication of a commonly performed simple procedure and has not been previously reported in published literature. We will discuss the possible aetiology of this iatrogenic injury in our patient and make recommendations for prevention, early diagnosis and management.