Iatrogenic injury to the accessory nerve

Authors: Boström, Daniella¹; Dahlin, Lars¹

Source: Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery, Volume 41, Number 2, 2007 , pp. 82-87(6)

Publisher: Informa Healthcare

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Abstract:

We describe two patients with uncommon causes of iatrogenic injuries and review the anatomy, presentation, possibilities of repair, and results. The incidence of such nerve injuries during lymph node biopsies is 3%-10%, but the diagnosis is often delayed. Symptoms are shoulder pain and inability to abduct the arm beyond the horizontal plane. Surgical repair may improve function and pain and should be performed early, preferably within six months, but prevention of nerve injury is most important.

Keywords: Accessory nerve; iatrogenic; nerve injury; nerve repair; nerve reconstruction; lymph node biopsy

Document Type: Research article

DOI: 10.1080/02844310600836810

Affiliations: 1: Department of Hand Surgery, Malmö University Hospital, Lund University, Malmö, Sweden