Contraceptive implant migration to the ulnar nerve: A case report with literature review
Key Clinical Message Contraceptive implant migration is a rare complication associated with contraceptive implants: migration to the ulnar nerve, emphasizing the importance of accurate diagnosis, imaging, and a multidisciplinary approach to mitigate neurovascular risks during insertion and removal p...
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| Format: | Article |
| Language: | English |
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Wiley
2024-09-01
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| Series: | Clinical Case Reports |
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| Online Access: | https://doi.org/10.1002/ccr3.9420 |
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| author | Saywan K. Asaad Nigar M. Salih Marwan N. Hassan Mohammed S. Abid Hawbash F. Hamid Nahidah H. Ameen Ahmed Huda M. Muhammad Abdullah K. Ghafoor Snur Othman Fahmi H. Kakamad |
| author_facet | Saywan K. Asaad Nigar M. Salih Marwan N. Hassan Mohammed S. Abid Hawbash F. Hamid Nahidah H. Ameen Ahmed Huda M. Muhammad Abdullah K. Ghafoor Snur Othman Fahmi H. Kakamad |
| author_sort | Saywan K. Asaad |
| collection | DOAJ |
| description | Key Clinical Message Contraceptive implant migration is a rare complication associated with contraceptive implants: migration to the ulnar nerve, emphasizing the importance of accurate diagnosis, imaging, and a multidisciplinary approach to mitigate neurovascular risks during insertion and removal procedures. The case report demonstrates the necessity for careful removal techniques and thorough patient follow‐up to ensure positive outcomes and prevent long‐term nerve damage. There are some potential risks and complications associated with contraceptive implants, including neurovascular injury. The aim of this case report is to report a rare complication associated with contraceptive implants. A 32‐year‐old female, right‐hand dominant, presented to the orthopedic clinic for the extraction of a contraceptive implant (Implanon) from her left arm. She reported intermittent numbness in the ring and little fingers. Upon examination, the Implanon was not palpable. Both Phalen's test and Tinel signs were negative. An x‐ray of the arm revealed the implant's position. Under local anesthesia through a longitudinal incision, the Implanon was found within the perineurium of the ulnar nerve. Two weeks after the operation, the patient returned to the clinic. Upon examination, there were no indications of ulnar nerve neuropathy. If a patient undergoes subdermal implant‐associated pain or is at risk of neurovascular damage during removal, it is advisable to refer the patient to a family planning specialist experienced in handling challenging implant removals, and subsequently to a peripheral nerve surgeon, to optimize outcomes. The migration of a contraceptive implant to the ulnar nerve is an exceedingly rare but possible complication. |
| format | Article |
| id | doaj-art-e78a8fdc394541eabf1b0a57f63ad557 |
| institution | DOAJ |
| issn | 2050-0904 |
| language | English |
| publishDate | 2024-09-01 |
| publisher | Wiley |
| record_format | Article |
| series | Clinical Case Reports |
| spelling | doaj-art-e78a8fdc394541eabf1b0a57f63ad5572025-08-20T02:39:26ZengWileyClinical Case Reports2050-09042024-09-01129n/an/a10.1002/ccr3.9420Contraceptive implant migration to the ulnar nerve: A case report with literature reviewSaywan K. Asaad0Nigar M. Salih1Marwan N. Hassan2Mohammed S. Abid3Hawbash F. Hamid4Nahidah H. Ameen Ahmed5Huda M. Muhammad6Abdullah K. Ghafoor7Snur Othman8Fahmi H. Kakamad9College of Medicine University of Sulaimani Sulaimani Kurdistan IraqCollege of Medicine University of Sulaimani Sulaimani Kurdistan IraqSmart Health Tower Sulaimani Kurdistan IraqSmart Health Tower Sulaimani Kurdistan IraqSmart Health Tower Sulaimani Kurdistan IraqCollege of Medicine University of Sulaimani Sulaimani Kurdistan IraqCollege of Medicine University of Sulaimani Sulaimani Kurdistan IraqSmart Health Tower Sulaimani Kurdistan IraqKscien Organization Sulaimani Kurdistan IraqCollege of Medicine University of Sulaimani Sulaimani Kurdistan IraqKey Clinical Message Contraceptive implant migration is a rare complication associated with contraceptive implants: migration to the ulnar nerve, emphasizing the importance of accurate diagnosis, imaging, and a multidisciplinary approach to mitigate neurovascular risks during insertion and removal procedures. The case report demonstrates the necessity for careful removal techniques and thorough patient follow‐up to ensure positive outcomes and prevent long‐term nerve damage. There are some potential risks and complications associated with contraceptive implants, including neurovascular injury. The aim of this case report is to report a rare complication associated with contraceptive implants. A 32‐year‐old female, right‐hand dominant, presented to the orthopedic clinic for the extraction of a contraceptive implant (Implanon) from her left arm. She reported intermittent numbness in the ring and little fingers. Upon examination, the Implanon was not palpable. Both Phalen's test and Tinel signs were negative. An x‐ray of the arm revealed the implant's position. Under local anesthesia through a longitudinal incision, the Implanon was found within the perineurium of the ulnar nerve. Two weeks after the operation, the patient returned to the clinic. Upon examination, there were no indications of ulnar nerve neuropathy. If a patient undergoes subdermal implant‐associated pain or is at risk of neurovascular damage during removal, it is advisable to refer the patient to a family planning specialist experienced in handling challenging implant removals, and subsequently to a peripheral nerve surgeon, to optimize outcomes. The migration of a contraceptive implant to the ulnar nerve is an exceedingly rare but possible complication.https://doi.org/10.1002/ccr3.9420ImplanonneuropathyNexplanonulnar nerve |
| spellingShingle | Saywan K. Asaad Nigar M. Salih Marwan N. Hassan Mohammed S. Abid Hawbash F. Hamid Nahidah H. Ameen Ahmed Huda M. Muhammad Abdullah K. Ghafoor Snur Othman Fahmi H. Kakamad Contraceptive implant migration to the ulnar nerve: A case report with literature review Clinical Case Reports Implanon neuropathy Nexplanon ulnar nerve |
| title | Contraceptive implant migration to the ulnar nerve: A case report with literature review |
| title_full | Contraceptive implant migration to the ulnar nerve: A case report with literature review |
| title_fullStr | Contraceptive implant migration to the ulnar nerve: A case report with literature review |
| title_full_unstemmed | Contraceptive implant migration to the ulnar nerve: A case report with literature review |
| title_short | Contraceptive implant migration to the ulnar nerve: A case report with literature review |
| title_sort | contraceptive implant migration to the ulnar nerve a case report with literature review |
| topic | Implanon neuropathy Nexplanon ulnar nerve |
| url | https://doi.org/10.1002/ccr3.9420 |
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