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Ulnar nerve ligation after removal of Norplant: a case report

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References

  1. Allouch H, Behnke-Mursch J, et al. Retrieval of foreign bodies adjacent to the nervous system: aspects of intra-operative use of ultrasound. Acta Neurochir (Wien). 2008;150(1):63–5.

    Article  CAS  Google Scholar 

  2. Berg WA, Hamper UM. Norplant implants: sonographic identification and localization for removal. Am J Roentgenol. 1995;164:419–20.

    CAS  Google Scholar 

  3. Blanchard PA, Kellerman RD. Alternative procedure for removal of Norplant (letter). Am Fam Physician. 1994;49:1733.

    PubMed  CAS  Google Scholar 

  4. Blumenthal PD, Gaffikin L, Affandi B, et al. Training for Norplant implant removal: assessment of learning curves and competency. Obstet Gynecol. 1997;89:174–8.

    Article  PubMed  CAS  Google Scholar 

  5. Cecil H, Reed D, Holtz J. Norplant removal facilitated by use of ultrasound for localization. J Fam Pract. 1995;40:182–3.

    PubMed  CAS  Google Scholar 

  6. Coukell AJ, Balfour JA. Levonorgestrel subdermal implants. A review of contraceptive efficacy and acceptability. Drugs. 1998;55(6):861–87.

    Article  PubMed  CAS  Google Scholar 

  7. Coutinho E, da Silva AR, Mattos CER, et al. Contraception with long acting subdermal implants: I. An effective and acceptable modality in international clinical trials. Contraception. 1978;18(4):315–33.

    Article  PubMed  CAS  Google Scholar 

  8. Cozens NJA. Contraceptive implants: high resolution ultrasonography facilitates removal. BMJ. 1996;313:880.

    Article  PubMed  CAS  Google Scholar 

  9. Darney P, Patel A, Rosen K, Shapiro LS, Kaunitz AM. Safety and efficacy of a single-rod etonogestrel implant (Implanon): results from 11 international clinical trials. Fertil Steril. 2009;91:1646–53.

    Article  PubMed  Google Scholar 

  10. Dunson TR, Amatya RN, Krueger SL. Complications and risk factors associated with the removal of Norplant implants. Obstet Gynecol. 1995;85:543–8.

    Article  PubMed  CAS  Google Scholar 

  11. Espey E, Ogburn T. Long-acting reversible contraceptives: intrauterine devices and the contraceptive implant. Obstet Gynecol. 2011;117(3):705–19.

    Article  PubMed  Google Scholar 

  12. Frank ML, Ditmore R, Ilegbodu AE, et al. Characteristics and experiences of American women electing for early removal of contraceptive implants. Contraception. 1995;52:159–65.

    Article  PubMed  CAS  Google Scholar 

  13. Gillies R, Scougall P, Nicklin S. Etonogestrel implants—case studies of median nerve injury following removal. Aust Fam Physician. 2011;40(10):799–800.

    PubMed  Google Scholar 

  14. Kirk EP, Field CS. Difficult Norplant removal facilitated by fluoroscopy [letter]. Am J Obstet Gynecol. 1993;169:748.

    PubMed  CAS  Google Scholar 

  15. Klavon SL, Grubb GS. Insertion site complications during the first year of Norplant® use. Contraception. 1990;41(1):27–37.

    Article  PubMed  CAS  Google Scholar 

  16. Lang JF, Heine MW, Purdon TF. Use of needle localization for difficult Norplant removal (letter; comment). Am J Obstet Gynecol. 1994;171:1161–2.

    PubMed  CAS  Google Scholar 

  17. Le J, Tsourounis C. Implanon: a critical review. Ann Pharmacother. 2001;35(3):329–36.

    Article  PubMed  CAS  Google Scholar 

  18. Letterie GS, Garnaas M. Localization of “lost” Norplant capsules using compression film screen mammography. Obstet Gynecol. 1995;85(5 II Suppl):886–7.

    Article  PubMed  CAS  Google Scholar 

  19. Levine JP, Sinofsky FE, Christ MF. Assessment of Implanon insertion and removal. Am J Obstet Gynecol. 2006;195(1):323–6.

    Article  Google Scholar 

  20. Marin R, McMillian D. Ulnar neuropathy associated with subdermal contraceptive implant. South Med J. 1998;91(9):875–8.

    Article  PubMed  CAS  Google Scholar 

  21. Mascarenhas L. Insertion and removal of Implanon: practical considerations. Eur J Contracept Reprod Health Care. 2000;5 Suppl 2:29–34.

    PubMed  Google Scholar 

  22. Mascarenhas L. Insertion and removal of Implanon. Contraception. 2008;78(5):409–17.

    Article  Google Scholar 

  23. Merki-Feld GS, Brekenfeld C, Migge B, et al. Nonpalpable ultrasonographically not detectable Implanon rods can be localized by magnetic resonance imaging. Contraception. 2001;63(6):325–8.

    Article  PubMed  CAS  Google Scholar 

  24. Miller L, Grice J. Intradermal proximal field block: an innovative anesthetic technique for levonorgestrel implant removal. Obstet Gynecol. 1998;91:294–7.

    Article  PubMed  CAS  Google Scholar 

  25. Osman N, Dinh A, Dubert T, et al. A new cause for iatrogenic lesion of the ulnar nerve at the arm: contraceptive hormonal implant. Report of two cases. Chir Main. 2005;24(3–4):181–3.

    Article  PubMed  CAS  Google Scholar 

  26. Power J, French R, Cowan F. Subdermal implantable contraceptives versus other forms of reversible contraceptives or other implants as effective methods of preventing pregnancy. Cochrane Database Syst Rev. 2007;18(3):CD001326.

    Google Scholar 

  27. Praptohardjo U, Wibowo S. The “U” technique: a new method for Norplant implants removal. Contraception. 1993;48:526–36.

    Article  PubMed  CAS  Google Scholar 

  28. Rekers H, Affandi B. Implanon studies conducted in Indonesia. Contraception. 2004;70(5):433.

    PubMed  Google Scholar 

  29. Rosenberg MJ, Alvarez F, Barone MA, et al. A comparison of “U” and standard techniques for Norplant removal. Obstet Gynecol. 1997;89:168–73.

    Article  PubMed  CAS  Google Scholar 

  30. Roussel Laboratories Limited: Norplant*. ABPI Compendium of Data Sheets and Summaries of Product Characteristics 1996–97. London: Datapharm Publications Limited; 938.

  31. Sarma SP, Hatcher R. The Emory method: a modified approach to Norplant implants removal. Contraception. 1994;49:551–6.

    Article  PubMed  CAS  Google Scholar 

  32. Sarma SP, Hatcher RP. Neurovascular injury during removal of levonorgestrel implants. Am J Obstet Gynecol. 1995;172(1 Pt 1):120–1.

    Article  PubMed  CAS  Google Scholar 

  33. Sarma SP, Silverstein M, Lewis C. Removal of a Norplant implant located near a major nerve using interventional radiology–digital subtraction fluoroscopy. Contraception. 1998;58(6):387–9.

    Article  PubMed  CAS  Google Scholar 

  34. Sarma SP, Wamsher JG, Whitlock SW. Removal of deeply inserted, nonpalpable levonorgestrel (Norplant®) implants. Contraception. 1996;53:159–61.

    Article  PubMed  CAS  Google Scholar 

  35. Shihata AA, Salzetti RG, Schnepper FW, et al. Innovative technique for Norplant implants removal. Contraception. 1995;51:83–5.

    Article  PubMed  CAS  Google Scholar 

  36. Sivin I, Lähteenmäki P, Mishell DR, et al. First week drug concentrations in women with levonorgestrel rod or Norplant® capsule implants ((registered trademark)). Contraception. 1997;56:317–21.

    Article  PubMed  CAS  Google Scholar 

  37. Smith JM, Conwit RA, Blumenthal PD. Ulnar nerve injury associated with removal of Norplant implants. Contraception. 1998;57(2):99–101.

    Article  PubMed  CAS  Google Scholar 

  38. Taneepanichskul S, Intaraprasert S, Chaturachinda K. Modified needle elevation technique for misplaced Norplant® implants removal. Contraception. 1996;54:87–9.

    Article  PubMed  CAS  Google Scholar 

  39. Thomsen RJ, Pasquale S, Nosher J. Ultrasonic visualization of Norplant® subdermal contraceptive devices. Int J Gynaecol Obstet. 1985;23(3):223–7.

    Article  PubMed  CAS  Google Scholar 

  40. Thurmond AS, Weinstein AS, Jones MK, et al. Localization of contraceptive implant capsules for removal. Radiology. 1994;193:580–1.

    PubMed  CAS  Google Scholar 

  41. Twickler DM, Schwarz BE. Imaging of the levonorgestrel implantable contraceptive device [letter]. Am J Obstet Gynecol. 1992;167:572–3.

    PubMed  CAS  Google Scholar 

  42. Vidin E, Garbin O, Rodriguez B, et al. Removal of etonogestrel contraceptive implants in the operating theater: report on 28 cases. Contraception. 2007;76(1):35–9.

    Article  PubMed  Google Scholar 

  43. Wechselberger G, Wolfram D, Pülzl P, et al. Nerve injury caused by removal of an implantable hormonal contraceptive. Am J Obstet Gynecol. 2006;195(1):323–6.

    Article  PubMed  Google Scholar 

  44. Wehrle KE. The Norplant system: easy to insert, easy to remove. Nurse Pract. 1994;19(4):47–54.

    Article  PubMed  CAS  Google Scholar 

  45. Weiner HM, DiMarcangelo MT, Heim JA, et al. Use of computed tompography guidance and mammographic hook wires to remove displaced, embedded contraceptive rods. J Am Osteopath Assoc. 1996;96:422–3.

    PubMed  CAS  Google Scholar 

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Conflict of Interest Statement

The authors declare that they have no conflicts of interest, commercial associations, or intent of financial gain regarding this research.

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Correspondence to Joshua M. Adkinson.

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Adkinson, J.M., Talsania, J.S. Ulnar nerve ligation after removal of Norplant: a case report. HAND 8, 92–96 (2013). https://doi.org/10.1007/s11552-012-9454-9

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