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Incidence of symptomatic compressive peripheral neuropathy after shoulder replacement

  • Surgery Articles
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HAND

Abstract

Background

The incidence of post-operative compressive peripheral neuropathy (CPN) after shoulder arthroplasty is not known. We hypothesized that the likelihood following shoulder arthroplasty would be higher compared to a non-operative cohort.

Methods

Retrospective study compared the incidence of symptomatic CPN after shoulder replacement to a 1:1 age- and gender-matched non-operative control group with shoulder arthritis. Six hundred six consecutive shoulder replacements from a regional shoulder arthroplasty registry were analyzed. This included 319 primary total shoulder arthroplasties (TSR), 168 hemiarthroplasties (HA), 31 humeral resurfacings (HHR), 71 reverse arthroplasties (RTSA), and 17 revision arthroplasties. Diagnosis of post-operative CPN was obtained by documented clinical examination by a physician consistent with CPN based on patient complaints, positive nerve study results, and/or nerve decompression. Age, gender, body mass index, diabetes status, thyroid abnormalities, operative side, and anesthesiology (ASA) score were examined.

Results

The surgery group had 15 cases (2.5 %) of post-operative CPN (ten carpal tunnel syndrome, five cubital tunnel syndrome). This included seven TSR, six HA, one revision TSR, and one RTSA. Diagnoses included ten osteoarthritis, four rotator cuff arthropathies, and one chondrolysis. Control group had eight cases (1.3 %) of CPN (seven carpal tunnel syndrome, one cubital tunnel syndrome). In univariate analysis, age, gender, body mass index, ASA score, operative side, thyroid status, and diabetes were not predictors of post-operative CPN. CPN incidence between surgical and control groups was not statistically significant.

Conclusion

The 1-year incidence rate of new onset clinical post-operative CPN symptoms was 2.5 %. There was no significant difference of CPN rates between surgical and non-operative groups.

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Conflict of Interest

Edward H. Yian declares that he has no conflict of interest.

Mark Dillon declares that he has no conflict of interest.

Jeff Sodl declares that he has no conflict of interest.

Emil Dionysian declares that he has no conflict of interest.

Ronald Navarro declares that he has no conflict of interest.

Anshuman Singh declares that he has no conflict of interest.

Statement of Human and Animal Rights

This is a retrospective study. This article does not contain any studies with human or animal test subjects performed by any of the authors.

Statement of Informed Consent

Study approval was obtained from the institutional review board and because of the study's design, individual written informed consent was deemed not necessary.

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Authors and Affiliations

  1. Kaiser Permanente Southern California Orange County Kraemer Medical Offices, 3460 E. La Palma Avenue, Anaheim, CA, 92806, USA

    Edward H. Yian

  2. Kaiser Permanente Northern California Sacramento Medical Center and Medical Offices, 2025 Morse Avenue, Sacramento, CA, 95825, USA

    Mark Dillon

  3. Kaiser Permanente Southern California Orange County Medical Office Building, 200 North Lewis Avenue, Orange, CA, 92807, USA

    Jeff Sodl

  4. Kaiser Permanente Southern California Orange County Medical Office Building, 411 North Lakeview Avenue, Anaheim, CA, 92807, USA

    Emil Dionysian

  5. Kaiser Permanente Southern California South Bay Medical Center, 25825 Vermont Avenue, Harbor City, CA, 90710, USA

    Ronald Navarro

  6. Kaiser Permanente Southern California Orthopedics-Regular Clinic, Garfield Specialty Center, 5893 Copley Drive, San Diego, CA, 92111, USA

    Anshuman Singh

Authors
  1. Edward H. Yian
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  2. Mark Dillon
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  3. Jeff Sodl
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  4. Emil Dionysian
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  5. Ronald Navarro
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  6. Anshuman Singh
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Corresponding author

Correspondence to Edward H. Yian.

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Yian, E.H., Dillon, M., Sodl, J. et al. Incidence of symptomatic compressive peripheral neuropathy after shoulder replacement. HAND 10, 243–247 (2015). https://doi.org/10.1007/s11552-014-9701-3

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  • DOI: https://doi.org/10.1007/s11552-014-9701-3

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