Letter to Editor: Progressive Brachial Plexus Palsy after Osteosynthesis of an Inveterate Clavicular Fracture

Letter to Editor

Volume 4 | Issue 1 | JOCR Jan-Mar 2014 | Page 44 |

Hemendra KA


 Progressive Brachial Plexus Palsy after Osteosynthesis of an Inveterate Clavicular Fracture- A Response.


 Author: Hemendra Agrawal [1]

[1]Central Institute Of Orthopaedics, V.M.M.C. & Safdarjung Hospital, Newdelhi-110029, INDIA.

Address of Correspondence:

Dr Hemendra K Agrawal : 1,Roop nagar first, Pushpanjali colony marg, Tonk Phatak, Jaipur, Rajasthan-302015,INDIA
Email: dr.hemendra.agrawal@gmail.com


Dear sir,

I would like to raise these following points:

1. Illustration of case report in abstract was somehow different from illustration in the description as the case was explained as a 2 month old clavicle fracture in abstract & it was explained as 4 months old in description and different other time intervals also.
2. Itrogenic compartment syndrome manifestating a week after surgery would not happen,as there was no compartment at clavicle bone,and if any local hematoma would present,that might manifest as a wound dehiscence rather that a isolated neurological symptoms.
3. lateral costo-clavicular space cannot be altered by fixing the fracture as the lateral space is maintained by coraco-clavicular ligaments which were intact in this case.
4. There was no indication for implant removal at 70 days for unstabilising the fracture site as practically it will not increase lateral costo-clavicular space.
5. Why the fracture was fixd again after a year as although the fracture fixation had created the problem.
these points indicate unreliability of facts explained in the article.

Warm regards

Hemendra Agrawal
Central Institute Of Orthopaedics, V.M.M.C. & Safdarjung Hospital, Newdelhi-110029, INDIA.


 

How to Cite This Article: Hemendra KA.Letter to Editor: Progressive Brachial Plexus Palsy after Osteosynthesis of an Inveterate Clavicular Fracture. Journal of Orthopaedic Case Reports 2014 Jan-Mar; 4(1):44. Available from: http://www.jocr.co.in/wp/2014/01/16/2250-0685-148-fulltext/


 hemendra


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