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Ann Thorac Surg 1985;39:358-360
© 1985 The Society of Thoracic Surgeons

Articles

Ulnar Nerve Injury with Open-Heart Surgery

Jeanne M. Wey, R.N., M.S. C.C.R.N.*, Gene A. Guinn, M.D.

Cora and Webb Mading Department of Surgery and the Veterans Administration Medical Center, Houston, TX

Accepted for publication September 27, 1984.

* Address reprint requests to Ms. Wey, 909 Frostwood, Suite 230, Houston, TX 77024


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The effects of different arm positions during open-heart surgery on the incidence of ulnar nerve injury were studied prospectively in 35 patients. It was concluded that ulnar nerve damage was common and was due to nerve compression at the elbow. A significant reduction in the incidence of nerve injury can be effected by placing the forearms above the head rather than at the patient's side.


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We acknowledge the assistance of Dr. Mike T. Yoon, Rehabilitation Medicine Department, Houston Veterans Administration Medical Center; the thoracic surgery residents, Baylor College of Medicine (1979–1982); and Yvonne Greer for typing the manuscript


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  1. Wadsworth TG. The cubital tunnel and the external compression syndrome Anesth Analg (Cleve) 1974;53:303.[Abstract/Free Full Text]
  2. Wadsworth TG. The external compression syndrome of the ulnar nerve at the cubital tunnel Clin Orthop 1977;124:189.[Medline]
  3. Wadsworth TG, Williams RM. The cubital tunnel external compression syndrome Nurs Times 1977;73:1357.[Medline]
  4. Wadsworth TG, Williams JR. Cubital tunnel external compression syndrome Br Med J 1973;1:662.[Abstract/Free Full Text]
  5. Abdellah FG, Levine E. Better Patient Care through Nursing Research. New York: Macmillan; 1965. pp. 709.
  6. Sunderland S. Nerve and Nerve Injuries. Baltimore: Williams & Wilkins; 1968. pp. 840.
  7. Guardjian ES. Traumatic ulnar neuritis due to strapping of the elbow and forearm to the operating table JAMA 1931;96:944.
  8. Feindel W, Stratford J. The role of the cubital tunnel in tardy ulnar palsy Can J Surg 1958;1:287.[Medline]
  9. Kopell HP, Thompson WAL. Peripheral Entrapment Neuropathies. Baltimore: Williams & Wilkins; 1963. pp. 113.
  10. Roach JJ. Iatrogenic ulnar nerve entrapment at the elbow J Maine Med Assoc 1977;68:331.[Medline]
  11. Jackson L, Keats AS. Mechanism of brachial plexus palsy following anesthesia Anaesthesia 1965;26:191.



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This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
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Right arrow Add to Personal Folders
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Right arrow Articles by Wey, J. M.
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Right arrow Articles by Wey, J. M.
Right arrow Articles by Guinn, G. A.