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骨折骨痂导致的术后桡神经麻痹

Postoperative radial nerve paralysis caused by fracture callus.

作者信息

Edwards P, Kurth L

机构信息

Department of Orthopedic Surgery, West Virginia University, Morgantown 26506.

出版信息

J Orthop Trauma. 1992;6(2):234-6. doi: 10.1097/00005131-199206000-00017.

DOI:10.1097/00005131-199206000-00017
PMID:1602344
Abstract

This is a case of late-onset (6 weeks) radial nerve paralysis following open reduction and internal fixation of a comminuted distal humerus fracture. A transected radial nerve within the callus was found at reoperation. The mechanism of transection was thought to be repetitive motion of the nerve across an edge of new bone. The nerve was repaired and tendon transfers done subsequently with less than full functional recovery at 16 months. No such case has been previously reported.

摘要

这是一例在粉碎性肱骨远端骨折切开复位内固定术后6周出现迟发性桡神经麻痹的病例。再次手术时发现骨痂内的桡神经横断。横断机制被认为是神经反复在新骨边缘移动。神经进行了修复,随后进行了肌腱转位术,但在16个月时功能恢复不完全。此前未见此类病例报道。

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引用本文的文献

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Late-onset radial nerve palsy associated with conservatively managed humeral fracture. A case report and suggested classification system.迟发性桡神经麻痹与保守治疗肱骨干骨折相关。病例报告并提出分类系统。
HSS J. 2010 Feb;6(1):49-51. doi: 10.1007/s11420-009-9137-4. Epub 2009 Oct 8.
2
Courses of the radial nerve differ between chinese and Caucasians : clinical applications.中国人与高加索人的桡神经走行存在差异:临床应用
Clin Orthop Relat Res. 2008 Jan;466(1):135-8. doi: 10.1007/s11999-007-0019-0. Epub 2008 Jan 3.