成人臂丛神经损伤：损伤机制、损伤模式及体格检查

Adult brachial plexus injuries: mechanism, patterns of injury, and physical diagnosis.

作者信息

Moran Steven L, Steinmann Scott P, Shin Alexander Y

机构信息

Division of Hand Surgery, Department of Orthopedic Surgery, Mayo Clinic, 200 First Street, Rochester, MN 55905, USA.

出版信息

Hand Clin. 2005 Feb;21(1):13-24. doi: 10.1016/j.hcl.2004.09.004.

DOI:10.1016/j.hcl.2004.09.004

PMID:15668062

Abstract

Most brachial plexus injuries involve the entire plexus. An injury to major cords or branches often contains a mixed injury pattern, with portions of the nerve being avulsed, ruptured, or stretched. An advancing Tinel's sign implies the possibility of neurologic recovery; however, the surgeon should combine this physical finding with that of electrodiagnostic studies to assess the extent of nerve injury to allow for expedient surgical intervention when necessary.

摘要

大多数臂丛神经损伤累及整个神经丛。主要神经束或分支损伤常包含混合性损伤模式，部分神经会出现撕脱、断裂或拉伸。Tinel征进展提示神经功能恢复的可能性；然而，外科医生应将这一体格检查结果与电诊断研究结果相结合，以评估神经损伤程度，必要时以便及时进行手术干预。