Evaluation of axillary nerve integrity and shoulder functions in patients who underwent lateral deltoid splitting approach

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dc.authorid0000-0002-9445-1552en_US
dc.authorid0000-0001-5953-4240en_US
dc.authorid0000-0001-6861-6555en_US
dc.authorid0000-0003-1829-5700en_US
dc.contributor.authorÜnal, Ömer Kays
dc.contributor.authorAteş, Miruna Florentina
dc.contributor.authorDağtaş, Mirza Zafer
dc.contributor.authorÜğütmen, Ender
dc.date.accessioned2024-07-12T21:04:54Z
dc.date.available2024-07-12T21:04:54Z
dc.date.issued2020en_US
dc.departmentFakülteler, Tıp Fakültesien_US
dc.description.abstractAim: The most common complication of the Lateral deltoid splitting approach (LDSA), which is used in the shoulder area, especially for posterior extension fractures and other soft tissue pathologies, is axillary nerve injury. Determining the frequency of nerve injuries that may occur after LDSA is decisive for the applicability of this approach. Therefore, in our study, we aimed to evaluate the axillary nerve integrity and shoulder functions in patients who underwent LDSA. Methods: In this prospective cohort study, 55 patients who were operated with LDSA for proximal humerus fractures between February 2015 and July 2018 were evaluated. Among these patients, 35 were selected and included in the study. Six months later Electrophysiological tests (Electroneuromyelography – ENMG) and Constant Shoulder Score (CSS) were used for evaluation of each operated and non-operated shoulder. CSS difference between the operated and non-operated sides was graded as mild (11-20 point), moderate (21-30) and severe (>30). Results: Mean age of the group was 66 (9) years. Twenty-five patients were female and 10 were male. Mean follow-up time was 4 (1) years. Mean latencies of axillary nerve were 4.6 (1.8) msn, 3.7 (0.54) msn and mean amplitudes of axillary nerve were 6.6 (2.21) mV, 8.4 (2.80) mV in the operated and non-operated shoulders, respectively. There was no statically significant difference between the operated and non-operated sides according to latency and amplitude (latency P=0.25, amplitude P=0.16). Mean CSS of the patients were 28.7. CSS of 12 patients were severe (mean: 39.08), 18 patients, moderate (mean 25.4) and 5 patients, mild (mean 16). There was no statically significant correlation between CSS and axillary nerve latency / amplitude (P= 0.62, r=0.267 / P=0.98, r=-0.339). Fracture type and CSS showed a statically significant correlation (P=0.032, r= 0.829). Conclusion: This study revealed that LDSA provides wide and versatile fracture control without compromising the deltoid muscle functions and axillary nerve, especially in fractures extending to the posterior part of the proximal humerus.en_US
dc.identifier.citationUnal, Ömer K., Ateş, M. F., Dağtaş, M. Z., & Ugutmen, E. (2020). Evaluation of axillary nerve integrity and shoulder functions in patients who underwent lateral deltoid splitting approach. Journal of Surgery and Medicine, SelSistem. 4(8), s. 645–648.en_US
dc.identifier.endpage648en_US
dc.identifier.issn2602-2079
dc.identifier.issue8en_US
dc.identifier.startpage645en_US
dc.identifier.urihttps://jsurgmed.com/article/view/777069
dc.identifier.urihttps://hdl.handle.net/20.500.12415/3851
dc.identifier.volume4en_US
dc.institutionauthorÜnal, Ömer Kays
dc.institutionauthorAteş, Miruna Florentina
dc.institutionauthorDağtaş, Mirza Zafer
dc.institutionauthorÜğütmen, Ender
dc.language.isoenen_US
dc.publisherSelSistemen_US
dc.relation.ispartofJournal of Surgery and Medicineen_US
dc.relation.isversionof10.28982/josam.777069en_US
dc.relation.publicationcategoryUluslararası Hakemli Dergide Makale - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzKY02047
dc.subjectProximal humeral fracturesen_US
dc.subjectDeltoid-splitting approachen_US
dc.subjectNerve crushen_US
dc.subjectElectromyographyen_US
dc.titleEvaluation of axillary nerve integrity and shoulder functions in patients who underwent lateral deltoid splitting approachen_US
dc.typeArticle
dspace.entity.typePublication

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