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Ann Thorac Surg 1982;34:181-185
© 1982 The Society of Thoracic Surgeons

Articles

Upper Extremity Neuropathies Following Median Sternotomy

J.E. Morin, M.D.*, R. Long, M.D., M.G. Elleker, M.D., A.A. Eisen, M.D., E. Wynands, M.D., S. Ralphs-Thibodeau, R.N.

From the Cardiovascular Thoracic Surgical Service, Royal Victoria Hospital, and the Department of Neurology and Neurosurgery, McGill University, Montreal, PQ, Canada

* Address reprint requests to Dr. Morin, Royal Victoria Hospital, Room S8.30, 687 Pine Ave W, Montreal, PQ, Canada H3A 1A1

The status of 958 patients who underwent median sternotomy between January, 1978, and May, 1981, was analyzed. Fifty-four patients had an upper extremity neuropathy. Among 38 patients who underwent further evaluation, motor and sensory nerve conduction studies localized the injury to the level of the elbow in 13, to the brachial plexus in 10, and to both locations in 6. Ninety-two percent of these 38 patients were asymptomatic 3 months after operation.




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