Sunday, October 25, 2009

Iatrogenic nerve palsy

18 year old inability to shrug shoulder after surgery in the neck

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Scar showing previous surgery

Video of disability

Diagnosis

Iatrogenic spinal accessory nerve palsy

Treatment

Surgical exploration

Surgical findings at exploration

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Complete division of spinal accessory nerve and scarring

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Scar excised and XI nerve grafted with sural nerve graft.

Results after surgery – 10 weeks  post op

Article on SAN Palsy

Assessing Surgical Skills

 

How do you assess the competency of a surgeon skills transparently and objectively that is safe and reliable?

 

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Hand Surgery - An Independent Speciality

 

Is the UK ready for hand surgery as an independent speciality?

There are a significant number of surgeons who believe that  this should not be so?

why not?

 

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