Occult Rib Fractures and Brachial Plexus Injury Following Median Sternotomy for Open-Heart Operations

1984 ◽  
Vol 38 (3) ◽  
pp. 192-194 ◽  
Author(s):  
Clinton E. Baisden ◽  
Lloyd V. Greenwald ◽  
Panagiotis N. Symbas
Keyword(s):  
Brachial Plexus ◽  
Brachial Plexus Injury ◽  
Median Sternotomy ◽  
Rib Fractures ◽  
Open Heart

Brachial plexus injury after median sternotomy

1993 ◽  
Vol 18 (2) ◽  
pp. 282-284 ◽  
Author(s):  
D.A. Hudson ◽  
R. Boome ◽  
I. Sanpera
Keyword(s):  
Brachial Plexus ◽  
Brachial Plexus Injury ◽  
Median Sternotomy

scholarly journals Brachial Plexus Injury Following Median Sternotomy Incision

1971 ◽  
Vol 11 (4) ◽  
pp. 315-319 ◽  
Author(s):  
Marvin M. Kirsh ◽  
Kenneth R. Magee ◽  
Otto Gago ◽  
Donald R. Kahn ◽  
Herbert Sloan
Keyword(s):  
Brachial Plexus ◽  
Brachial Plexus Injury ◽  
Median Sternotomy

scholarly journals Brachial Plexus Injury Associated with Median Sternotomy during Cardiac Surgery: Three Cases of C8 Radiculopathy Due to the Fracture of the First Rib

Diagnostics ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. 1896
Author(s):  
Yu Jin Im ◽  
Min Soo Kang ◽  
Sun Woong Kim ◽  
Duk Hyun Sung
Keyword(s):  
Cardiac Surgery ◽  
Brachial Plexus ◽  
Brachial Plexus Injury ◽  
Rare Complication ◽  
Median Sternotomy ◽  
Rib Fracture ◽  
Advanced Imaging ◽  
First Rib ◽  
Lower Root ◽  
Electrophysiologic Studies

In cardiac surgery, median sternotomy is often necessary during certain surgical processes and it can cause the rare complication of brachial plexus injury. Retraction of the rib cage during median sternotomy may produce a fracture of the first thoracic rib at the costovertebral junction which might penetrate or irritate the lower root of the brachial plexus. Because the C8 ventral root is located immediately superior to the first thoracic rib, the extraforaminal C8 root is thought to be the key location of brachial plexus injury by the first rib fracture. This report describes three cases of brachial plexus injury after median sternotomy in a single center. In our cases, fracture of the first rib and consequent brachial plexus injury is confirmed with imaging and electrophysiologic studies. The fracture of the first rib is not detected with standard plain images and it is confirmed only with CT or MRI studies. Advanced imaging tools are recommended to assess the first rib fracture when brachial plexus injury is suspected after median sternotomy.

scholarly journals Brachial plexus injury following median sternotomy

2006 ◽  
Vol 6 (2) ◽  
pp. 235-237 ◽  
Author(s):  
Y. Unlu ◽  
Y. Velioglu ◽  
H. Kocak ◽  
N. Becit ◽  
M. Ceviz
Keyword(s):  
Brachial Plexus ◽  
Brachial Plexus Injury ◽  
Median Sternotomy

Brachial Plexus Injury During Open Heart Surgery - Controlled Prospective Study

2005 ◽  
Vol 53 (5) ◽  
pp. 295-299 ◽  
Author(s):  
S. Canbaz ◽  
N. Turgut ◽  
U. Halici ◽  
H. Sunar ◽  
K. Balci ◽  
...  
Keyword(s):  
Prospective Study ◽  
Brachial Plexus ◽  
Heart Surgery ◽  
Brachial Plexus Injury ◽  
Open Heart Surgery ◽  
Open Heart

scholarly journals Brachial plexus injury after median sternotomy.

1981 ◽  
Vol 44 (7) ◽  
pp. 621-625 ◽  
Author(s):  
J G Graham ◽  
I F Pye ◽  
I N McQueen
Keyword(s):  
Brachial Plexus ◽  
Brachial Plexus Injury ◽  
Median Sternotomy

scholarly journals Brachial plexus injury following median sternotomy

1982 ◽  
Vol 83 (6) ◽  
pp. 914-917 ◽  
Author(s):  
Thomas J. Vander Salm ◽  
Bruce S. Cutler ◽  
O.N. Okike
Keyword(s):  
Brachial Plexus ◽  
Brachial Plexus Injury ◽  
Median Sternotomy
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