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

Artikel

Artikel empfehlen

Endoscopic Assisted Exploration of the Axillary Nerve through a Posterior Open Approach: First Clinical Experience

Meeting Abstract

Suche in Medline nach

  • presenting/speaker Andres A. Maldonado - BG Unfallklinik Frankfurt, Frankfurt, Germany
  • Florian Neubrech - BG Unfallklinik Frankfurt, Frankfurt, Germany
  • Robert J. Spinner - Mayo Clinic, Rochester, United States
  • Michael Sauerbier - BG Unfallklinik Frankfurt, Frankfurt, Germany

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. DocIFSSH19-214

doi: 10.3205/19ifssh1144, urn:nbn:de:0183-19ifssh11446

Veröffentlicht: 6. Februar 2020

© 2020 Maldonado 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: We present the first two cases using an endoscopic assisted approach to explore the whole AN through a posterior approach.

Methods: Two patients with a potential AN injury were included. Dry arthroscopy was performed through a standard posterior approach in an attempt to visualize all segments of the AN. Photographs and videos were performed in order to evaluate the intraoperative visualization of the AN and provide long-term clinical follow-up.

Results and Conclusions: The whole AN was visualized with the scope avoiding the deltopectoral approach. No AN injury was found during the nerve exploration. A more proximal injury (upper trunk) was visualized in both patients during the standard supraclavicular dissection and a triceps branch to AN transfer using the previous posterior approach was performed. After 9 months both patients achieved a shoulder flexion and abduction above 140º. The endoscopic assisted exploration of the AN through a posterior open approach was a useful strategy to visualize the whole AN without the combination of a deltopectoral approach. We believe this technique has a role in selected cases of AN injury.