![]() ![]() The multivariate analysis of ASES scores at 3 and 6 months after surgery showed that the fluid retention volume was correlated with the ASES score at 3 months after surgery, especially when the retention volume was greater than 2L (P=0.001 (95%). After the operation, the retention of irrigation fliud had an effect on the circumference of the deltoid, neck and arm, but the effect on the circumference of the deltoid was statistically significant (P<0.001 (95%CI: ). Multivariate mixed-effects model analysis of CI found that there was a statistically significant difference between patients older than 55 years old and those with obesity (BMI>24). ![]() Result: The preoperative CI was affected by changes in anesthesia status and body position, while PPV is not affected by anesthesia and body position. The basic information of the patients, ASES and VAS scores in each period before and after surgery, cardiac index (CI) and pulse pressure variation (PPV) before and after anesthesia, and changes in arm circumference and deltoid muscle circumference before and after surgery were recorded and evaluated. Method: A retrospective analysis was made on the clinical data of 92 patients, in whom 84 cases of rotator cuff injury, 3 cases of shoulder instability, 3 cases of fracture of the greater tuberosity of the humerus, and 2 cases of frozen shoulder. excessive fluid extravasation on cardiovascular system and postoperative function The objective is to reveal the effects of the. Most relevant studies involve respiratory system, while the reports fouced on the cardiovascular system and postoperative function recovery are rare. The rapid recovery of our patient's initial symptoms with persistent severe axillary injury suggests a unique vulnerability of the nerve due to the neuroanatomy and possibly other factors.īackground context: With the popularity of shoulder arthroscopy, the releted complications have recently studied, among which the excessive fluid extravasation is a potentially dangerous complication. Electrodiagnostic testing to fully assess axillary nerve function should still be considered to identify patients with high grade nerve injuries that may benefit from sural nerve grafting. These patients may present with only mild persistent weakness of shoulder abduction. Isolated axillary nerve injuries are usually associated with anterior shoulder dislocations however, a severe isolated persistent axillary mononeuropathy from a ruptured axillary nerve may occur in trauma patients without a clear history of shoulder dislocation. The patient then underwent a complex 3-cable sural nerve graft repair for attempted reinnervation of the axillary-innervated muscles. Needle electromyography demonstrated dense fibrillation potentials and no voluntary activation in all three deltoid muscle heads, indicating a severe posttraumatic ruptured axillary mononeuropathy. He developed diffuse deltoid muscle atrophy, persistent shoulder abduction weakness, and reduced pinprick sensation confined to the axillary distribution over 5 months. A high-school-aged right-handed male presented with a 5-month history of persistent proximal right arm weakness and numbness after an American football stinger injury without a documented history of a shoulder dislocation or humeral fracture. ![]()
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