{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:17:42Z","timestamp":1787753862700,"version":"build-2784847793"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A male patient in his late 50s had attempted removal of an interscalene block catheter after reverse total shoulder arthroplasty. Atypical pain and resistance raised concern for entrapment in the brachial plexus, requiring surgical exploration. It was found to have knotted in the anterior and posterior divisions of the upper trunk of the brachial plexus. Under direct visualization, the catheter was removed and the brachial plexus was unharmed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This case raises awareness that if unexpected pain or resistance is encountered during nerve block catheter removal, it is vital to pause and evaluate the possibility of entrapment in neural structures.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.24.00175","type":"journal-article","created":{"date-parts":[[2025,3,20]],"date-time":"2025-03-20T18:02:01Z","timestamp":1742493721000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Interscalene Block Catheter Knotting in Brachial Plexus Following Elective Reverse Total Shoulder Arthroplasty"],"prefix":"10.2106","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6124-790X","authenticated-orcid":false,"given":"Michael","family":"Shehata","sequence":"first","affiliation":[{"name":"Division of Orthopedic Surgery, Roth McFarlane Hand and Upper Limb Centre, St. Joseph's Health Care, University of Western Ontario, London, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3929-028X","authenticated-orcid":false,"given":"Kevin","family":"Armstrong","sequence":"additional","affiliation":[{"name":"Division of Anesthesiology and Perioperative Medicine, University of Western Ontario, London, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Douglas","family":"Ross","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, Roth McFarlane Hand and Upper Limb Centre, St. Joseph's Health Care, University of Western Ontario, London, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7348-1672","authenticated-orcid":false,"given":"Darren","family":"Drosdowech","sequence":"additional","affiliation":[{"name":"Division of Orthopedic Surgery, Roth McFarlane Hand and Upper Limb Centre, St. Joseph's Health Care, University of Western Ontario, London, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,1]]},"reference":[{"issue":"2","key":"bib1-20250320","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1097\/00115550-200703000-00012","article-title":"Minimally invasive retrieval of knotted nonstimulating peripheral nerve catheters","volume":"32","author":"Burgher","year":"2007","journal-title":"Reg Anesth Pain Med."},{"issue":"3","key":"bib2-20250320","doi-asserted-by":"crossref","first-page":"527","DOI":"10.1177\/0310057X1204000321","article-title":"Perineural entrapment of an interscalene stimulating catheter","volume":"40","author":"Adhikary","year":"2012","journal-title":"Anaesth Intensive Care."},{"issue":"2","key":"bib3-20250320","doi-asserted-by":"crossref","first-page":"282","DOI":"10.1177\/0310057X0403200223","article-title":"Knotted femoral nerve catheter","volume":"32","author":"Rudd","year":"2004","journal-title":"Anaesth Intensive Care."},{"issue":"2","key":"bib4-20250320","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1016\/j.ijoa.2005.07.003","article-title":"On knots in epidural catheters: a case report and a review of the literature","volume":"15","author":"Brichant","year":"2006","journal-title":"Int J Obstet Anesth."},{"issue":"10","key":"bib5-20250320","doi-asserted-by":"crossref","first-page":"1824","DOI":"10.12998\/wjcc.v12.i10.1824","article-title":"Unique method for removal of knotted lumbar epidural catheter: a case report","volume":"12","author":"Deng","year":"2024","journal-title":"World J Clin Cases."},{"issue":"2","key":"bib6-20250320","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1213\/00000539-199702000-00027","article-title":"Continuous popliteal sciatic nerve block: an original technique to provide postoperative analgesia after foot surgery","volume":"84","author":"Singelyn","year":"1997","journal-title":"Anesth Analg."},{"issue":"3","key":"bib7-20250320","doi-asserted-by":"crossref","first-page":"760","DOI":"10.1213\/00000539-200209000-00042","article-title":"Shearing of a peripheral nerve catheter","volume":"95","author":"Lee","year":"2002","journal-title":"Anesth Analg."},{"issue":"2","key":"bib8-20250320","first-page":"174","article-title":"Perineural catheter placement: another potential complication","volume":"29","author":"Coventry","year":"2004","journal-title":"Reg Anesth Pain Med."},{"issue":"5","key":"bib9-20250320","doi-asserted-by":"crossref","first-page":"1550","DOI":"10.1213\/01.ANE.0000136475.62117.8F","article-title":"Successful removal of a knotted fascia iliaca catheter: principles of patient positioning for peripheral nerve catheter extraction","volume":"99","author":"Offerdahl","year":"2004","journal-title":"Anesth Analg."},{"issue":"2","key":"bib10-20250320","first-page":"393","article-title":"The mechanical properties of intact and traumatized epidural catheters","volume":"90","author":"Ate\u015f","year":"2000","journal-title":"Anesth Analg."},{"issue":"7","key":"bib11-20250320","doi-asserted-by":"crossref","first-page":"1117","DOI":"10.1111\/j.1526-4637.2011.01177.x","article-title":"Brachial plexus entrapment of interscalene nerve catheter after uncomplicated ultrasound-guided placement","volume":"12","author":"Bowens","year":"2011","journal-title":"Pain Med."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.24.00175","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:20:10Z","timestamp":1787750410000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.24.00175"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":11,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.24.00175","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1]]}}}