Journal of Nippon Medical School: Vol.70 No.4 page.355

Journal of Nippon Medical School

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ArticleTitle Injury of Superficial Radial Nerve on the Wrist Joint Induced by Intravenous Injection

AuthorList Takuya Sawaizumi¹, Atsuhiro Sakamoto² and Hiromoto Ito¹

Affiliation ¹Department of Orthopaedic Surgery, Nippon Medical School
²Department of Anesthesiology, Nippon Medical School

Language EN

Volume 70

Issue 4

Year 2003

Page 355-359

Received December 25, 2002

Accepted January 23, 2003

Keywords Superficial radial nerve, needle, injection

Abstract Eleven cases of injury of the superficial radial nerve on the wrist joint, caused by intravenous injection of a needle. Paralysis occurred immediately after injection of a needle into the cephalic vein of the wrist joint, which was immediately recognized by the patients themselves. Six patients who had only sensory disturbance without causalgia were subjected to follow-up observation; 5 patients with causalgia were administered with steroid infiltration injection 3 to 5 times. Of the latter 5 patients, one patient underwent surgery because the steroid infiltration injection showed no effects. Four patients (36.4%) completely recovered within three months, while 7 patients (63.6%) continued to show nervous symptoms. We concluded that intravenous injection of a needle should be performed at the wrist joint only when it is inevitable.

Correspondence to Takuya Sawaizumi, MD, Department of Orthopaedic Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan
sawataku@ka2.so-net.ac.jp

ArticleTitle	Injury of Superficial Radial Nerve on the Wrist Joint Induced by Intravenous Injection
AuthorList	Takuya Sawaizumi¹, Atsuhiro Sakamoto² and Hiromoto Ito¹
Affiliation	¹Department of Orthopaedic Surgery, Nippon Medical School ²Department of Anesthesiology, Nippon Medical School
Language	EN
Volume	70
Issue	4
Year	2003
Page	355-359
Received	December 25, 2002
Accepted	January 23, 2003
Keywords	Superficial radial nerve, needle, injection
Abstract	Eleven cases of injury of the superficial radial nerve on the wrist joint, caused by intravenous injection of a needle. Paralysis occurred immediately after injection of a needle into the cephalic vein of the wrist joint, which was immediately recognized by the patients themselves. Six patients who had only sensory disturbance without causalgia were subjected to follow-up observation; 5 patients with causalgia were administered with steroid infiltration injection 3 to 5 times. Of the latter 5 patients, one patient underwent surgery because the steroid infiltration injection showed no effects. Four patients (36.4%) completely recovered within three months, while 7 patients (63.6%) continued to show nervous symptoms. We concluded that intravenous injection of a needle should be performed at the wrist joint only when it is inevitable.
Correspondence to	Takuya Sawaizumi, MD, Department of Orthopaedic Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan sawataku@ka2.so-net.ac.jp