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Neuropathies after surgery: Anatomical considerations of pathologic mechanisms
Author(s) -
Johnson Rebecca L.,
Warner Mary E.,
Staff Nathan P.,
Warner Mark A.
Publication year - 2015
Publication title -
clinical anatomy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.667
H-Index - 71
eISSN - 1098-2353
pISSN - 0897-3806
DOI - 10.1002/ca.22564
Subject(s) - medicine , soft tissue , ischemia , perioperative , central nervous system , mechanical compression , compression (physics) , surgery , cardiology , biomedical engineering , materials science , composite material
Positioning‐related injuries caused during surgery under anesthesia are most likely multifactorial. Pathologic mechanical forces alone (overstretching and/or ischemia from direct compression) may not fully explain postsurgical neuropathy with recent evidence implicating patient‐specific factors or perioperative inflammatory responses spatially and even temporally divorced from the anatomical region of injury. The aim of this introductory article is to provide an overview of anatomic considerations of these mechanical forces on soft and nervous tissues along with factors that may compound compression or stretch injury. Three subsequent articles will address specific positioning‐related anatomic considerations of the (1) upper extremities, (2) lower extremities, and (3) central nervous system and soft tissues. Clin. Anat. 28:678–682, 2015. © 2015 Wiley Periodicals, Inc.