Postoperative wristwatch-induced compressive XXXX of the hand: a case report.

@entity1 @entity4 @entity16 @entity128 @entity1897 @entity5105 @entity51 @entity7577 @entity86
INTRODUCTION: Postoperative @entity1897 are well-recognised complications of both surgery and anaesthesia and a leading cause of litigation claims. We present a rare cause of compressive sensory and motor neuropraxia of the median, ulnar and radial nerves of the right hand resulting from a wristwatch that was worn on the first postoperative night following minor surgery. Mechanisms of this compressive @entity16 are discussed, with specific recommendations made regarding the wearing of wristwatches, jewellery and constrictive clothing in the immediate postoperative period. CASE PRESENTATION: A 12-year-old white @entity1 presented with a complete glove and stocking sensory and motor @entity16 involving his right hand from a wristwatch that was worn on the first postoperative night following uneventful surgery for a minor procedure. Over the following 12 hours the @entity4 and @entity5105 resolved with complete return of motor function. After 18 hours, the @entity51 completely resolved. CONCLUSIONS: @entity86 is often preventable. Paediatric @entity1 , especially if thin, may be particularly susceptible to a @entity7577 from constrictive clothing or jewellery, in particular circumferential varieties such as wristwatches. These items should not be worn in the immediate postoperative period as pressure on peripheral nerves can result in severe and @entity128 . Education should be given to all medical staff, carers or parents of @entity1 undergoing surgery on the avoidance of wearing wristwatches, jewellery or constrictive clothing in the immediate postoperative period. Early medical evaluation of any @entity86 is of paramount importance.
