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Abstract Details

The Benefits of Neuromuscular Ultrasound Immediately After Surgery: A Case Example
Neuromuscular and Clinical Neurophysiology (EMG)
P2 - Poster Session 2 (8:00 AM-9:00 AM)
1-002
To illustrate the utility of neuromuscular ultrasound in diagnosing nerve injury in the immediate post-surgical setting.
Post-surgical nerve injury is relatively common and can occur after almost any type of surgery. Historically, EMG/NCS have been used to assess for nerve damage but has limitations; nerve damage does not show up immediately and it provides little evaluation of etiology.
NA
A 39 year old male police officer heard a popping sensation in his left arm while restraining a prisoner. He was diagnosed within a week with bicep tendon rupture and went for elective surgical repair. After surgery he developed loss of finger and wrist extension on the left. He was sent for neuromuscular ultrasound the next day which found the deep radial motor branch entrapped under a foreign object which was later identified as the "button" from his original surgery (Arthrex biceps tenodesis button). He returned to surgery that night with the nerve freed and the biceps tendon repair re-done (with the same technique). He immediately had improvement in extension of the fingers and since then has seen continued improvement.
Recognizing the cause of a post-surgical nerve injury as soon as possible is highly important as some etiologies may be conducive to surgical repair. Neuromuscular ultrasound allows an immediate, useful and safe evaluation of nerve injury after surgery.
Authors/Disclosures
Laura Danielson, MD (CHI Health)
PRESENTER 		Dr. Danielson has nothing to disclose.
David C. Preston, MD, FAAN (University Hospitals - Cleveland Medical Center) Dr. Preston has received personal compensation in the range of $10,000-$49,999 for serving as an Expert Witness for FBI, US Attorney, Insurance Fraud Investigative Units. Dr. Preston has received publishing royalties from a publication relating to health care.