Acta ortopédica mexicana
-
Acta ortopédica mexicana · Mar 2008
Case Reports[Brachial plexus injury after interescalenic block in a patient with arthroscopic acromioplasty. Report of a case].
The brachial plexus is formed by union of C5, C6, C7, C8 and T1 root levels. Bachial plexus injuries can be categorized by ther causative mechanism as gunshot injuries, sharp injuries, traction injuries, motor accidents and radiation. The objective of the present study is to show the risk of interscalenic block as permanent lesion of brachial plexus in arthroscopic acromioplasty surgery. ⋯ She was re-evaluated by anesthesiology the next day, and they thought of prolonged action of the anesthetic used (bupivacaine). An electromyography was performed and it reported moderate axonal plexopathy, with affection of superior trunk and lateral cord. We must take into account the possibility of lesion of brachial plexus by interscalenic block and not by arthroscopic surgery.