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Shearing of a Continuous Interscalene Catheter with Lancinating Symptoms After an Interscalene BlockA Case Report
Michael G. Azzam, MD1; Gary W. Kimzey, MD2; Gabriel H. Phillips, MD3; Julius Fernandez, MD3; Frederick M. Azar, MD4; Thomas W. Throckmorton, MD4
1 Department of Orthopaedic Surgery, University of Tennessee-Campbell Clinic, 1211 Union Avenue, Suite 510, Memphis, TN 38104. E-mail address: mikeazzam@gmail.com
2 Medical Anesthesia Group, 2397 Lennox Drive, Germantown, TN 38138
3 Department of Neurosurgery, University of Tennessee, 847 Monroe Avenue, Suite 427, Memphis, TN 38163
4 Department of Orthopaedic Surgery, University of Tennessee-Campbell Clinic, 1400 South Germantown Road, Germantown, TN 38138
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Investigation performed at the University of Tennessee-Campbell Clinic, Memphis, Tennessee



Disclosure: None of the authors received payments or services, either directly or indirectly (i.e., via his or her institution), from a third party in support of any aspect of this work. One or more of the authors, or his or her institution, has had a financial relationship, in the thirty-six months prior to submission of this work, with an entity in the biomedical arena that could be perceived to influence or have the potential to influence what is written in this work. No author has had any other relationships, or has engaged in any other activities, that could be perceived to influence or have the potential to influence what is written in this work. The complete Disclosures of Potential Conflicts of Interest submitted by authors are always provided with the online version of the article.

Copyright © 2013 by The Journal of Bone and Joint Surgery, Inc.
JBJS Case Connector, 2013 Aug 28;3(3):e83 1-3. doi: 10.2106/JBJS.CC.L.00210
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Extract

Placement of a continuous indwelling nerve block catheter is generally safe and effective for pain control in the outpatient setting1. As reported in several large series in the literature, catheter-related complications are rare1-3; however, neurologic injury is possible. We present a patient who experienced a unique complication after placement of an interscalene nerve catheter and successful postoperative anesthesia. The patient was informed that data concerning the case would be submitted for publication, and she provided consent.
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    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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