ePlasty: Vol. 18
Contraceptive Implant–Related Acute Ulnar Neuropathy: Prompt Diagnosis, Early Referral, and Management Are Key
Ayman Saeed, MB BCh, BAO, LRCP & SI, MRCSI,Nitisha Narayan, MBBS, MS(Gen Surg), MRCS(Edin),and Ankur Pandya, MBBS, MS(Gen Surg), MCh, FRCS, FRCS Plast

Plastic and Reconstructive Surgery Department, Queen Alexandra Hospital, Portsmouth, United Kingdom

Correspondence: aymantsaeed@gmail.com
Keywords: ulnar nerve, neuropathy, contraception, implant, complications

Objective: Subdermal contraceptive implants are a well-established method of contraception. Aside from common side effects such as irregular menstrual periods, headaches, and weight gain, rarer complications related to their insertion and removal have been reported. These include traumatic peripheral neuropathy after procedures to remove nonpalpable implants. Only 2 cases of ulnar neuropathy after insertion of a contraceptive implant have been described in the literature, one which resolved spontaneously and another in which postoperative recovery was not described. We report a case of acute ulnar nerve neuropathy in a patient postinsertion of a contraceptive implant who achieved symptom resolution after prompt referral and treatment at a specialist plastic surgery center.Methods: A 22-year-old, right-hand-domi .......