Incisional paresthesia following clavicle plate fixation: does it matter to patients?

Abstract Background Operative management of clavicle fractures is increasingly common. In the context of explaining the risks and benefits of surgery, understanding the impact of incisional numbness as it relates to the patient experience is key to shared decision making. This study aims to determin...

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Autores principales:	Valérie Lemieux, Soheil Afsharpour, Diane Nam, Amr Elmaraghy
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Paresthesia Numbness Iatrogenic supraclavicular nerve injury Diseases of the musculoskeletal system RC925-935
Acceso en línea:	https://doaj.org/article/73aa9462afb541b2929d8b0ffbba7ab2
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spelling	oai:doaj.org-article:73aa9462afb541b2929d8b0ffbba7ab22021-11-08T10:58:21ZIncisional paresthesia following clavicle plate fixation: does it matter to patients?10.1186/s12891-021-04770-z1471-2474https://doaj.org/article/73aa9462afb541b2929d8b0ffbba7ab22021-11-01T00:00:00Zhttps://doi.org/10.1186/s12891-021-04770-zhttps://doaj.org/toc/1471-2474Abstract Background Operative management of clavicle fractures is increasingly common. In the context of explaining the risks and benefits of surgery, understanding the impact of incisional numbness as it relates to the patient experience is key to shared decision making. This study aims to determine the prevalence, extent, and recovery of sensory changes associated with supraclavicular nerve injury after open reduction and plate internal fixation of middle or lateral clavicle shaft fractures. Methods Eighty-six patients were identified retrospectively and completed a patient experience survey assessing sensory symptoms, perceived post-operative function, and satisfaction. Correlations between demographic factors and outcomes, as well as subgroup analyses were completed to identify factors impacting patient satisfaction. Results Ninety percent of patients experienced sensory changes post-operatively. Numbness was the most common symptom (64%) and complete resolution occurred in 32% of patients over an average of 19 months. Patients who experienced burning were less satisfied overall with the outcome of their surgery whereas those who were informed of the risk of sensory changes pre-operatively were more satisfied overall. Conclusions Post-operative sensory disturbance is common. While most patients improve, some symptoms persist in the majority of patients without significant negative effects on satisfaction. Patients should always be advised of the risk of persistent sensory alterations around the surgical site to increase the likelihood of their satisfaction post-operatively.Valérie LemieuxSoheil AfsharpourDiane NamAmr ElmaraghyBMCarticleParesthesiaNumbnessIatrogenic supraclavicular nerve injuryDiseases of the musculoskeletal systemRC925-935ENBMC Musculoskeletal Disorders, Vol 22, Iss 1, Pp 1-6 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Paresthesia Numbness Iatrogenic supraclavicular nerve injury Diseases of the musculoskeletal system RC925-935
spellingShingle	Paresthesia Numbness Iatrogenic supraclavicular nerve injury Diseases of the musculoskeletal system RC925-935 Valérie Lemieux Soheil Afsharpour Diane Nam Amr Elmaraghy Incisional paresthesia following clavicle plate fixation: does it matter to patients?
description	Abstract Background Operative management of clavicle fractures is increasingly common. In the context of explaining the risks and benefits of surgery, understanding the impact of incisional numbness as it relates to the patient experience is key to shared decision making. This study aims to determine the prevalence, extent, and recovery of sensory changes associated with supraclavicular nerve injury after open reduction and plate internal fixation of middle or lateral clavicle shaft fractures. Methods Eighty-six patients were identified retrospectively and completed a patient experience survey assessing sensory symptoms, perceived post-operative function, and satisfaction. Correlations between demographic factors and outcomes, as well as subgroup analyses were completed to identify factors impacting patient satisfaction. Results Ninety percent of patients experienced sensory changes post-operatively. Numbness was the most common symptom (64%) and complete resolution occurred in 32% of patients over an average of 19 months. Patients who experienced burning were less satisfied overall with the outcome of their surgery whereas those who were informed of the risk of sensory changes pre-operatively were more satisfied overall. Conclusions Post-operative sensory disturbance is common. While most patients improve, some symptoms persist in the majority of patients without significant negative effects on satisfaction. Patients should always be advised of the risk of persistent sensory alterations around the surgical site to increase the likelihood of their satisfaction post-operatively.
format	article
author	Valérie Lemieux Soheil Afsharpour Diane Nam Amr Elmaraghy
author_facet	Valérie Lemieux Soheil Afsharpour Diane Nam Amr Elmaraghy
author_sort	Valérie Lemieux
title	Incisional paresthesia following clavicle plate fixation: does it matter to patients?
title_short	Incisional paresthesia following clavicle plate fixation: does it matter to patients?
title_full	Incisional paresthesia following clavicle plate fixation: does it matter to patients?
title_fullStr	Incisional paresthesia following clavicle plate fixation: does it matter to patients?
title_full_unstemmed	Incisional paresthesia following clavicle plate fixation: does it matter to patients?
title_sort	incisional paresthesia following clavicle plate fixation: does it matter to patients?
publisher	BMC
publishDate	2021
url	https://doaj.org/article/73aa9462afb541b2929d8b0ffbba7ab2
work_keys_str_mv	AT valerielemieux incisionalparesthesiafollowingclavicleplatefixationdoesitmattertopatients AT soheilafsharpour incisionalparesthesiafollowingclavicleplatefixationdoesitmattertopatients AT dianenam incisionalparesthesiafollowingclavicleplatefixationdoesitmattertopatients AT amrelmaraghy incisionalparesthesiafollowingclavicleplatefixationdoesitmattertopatients
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Incisional paresthesia following clavicle plate fixation: does it matter to patients?

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