Akita S, Wada E, Kawai H
Department of Orthopaedic Surgery, Hoshigaoka Koseinenkin Hospital, 4-8-1 Hoshigaoka Hospital, Osaka 573-8511, Japan.
J Bone Joint Surg Br. 2006 May;88(5):637-41. doi: 10.1302/0301-620X.88B5.17175.
A total of 11 patients with combined traumatic injuries of the brachial plexus and spinal cord were reviewed retrospectively. Brachial plexus paralysis in such dual injuries tends to be diagnosed and treated late and the prognosis is usually poor. The associated injuries, which were all on the same side as the plexus lesion, were to the head (nine cases), shoulder girdle (five), thorax (nine) and upper limb (seven). These other injuries were responsible for the delayed diagnosis of brachial plexus paralysis and the poor prognosis was probably because of the delay in starting treatment and the severity of the associated injuries. When such injuries are detected in patients with spinal cord trauma, it is important to consider the possibility of involvement of the brachial plexus.
回顾性分析了11例臂丛神经合并脊髓创伤患者。此类双重损伤中的臂丛神经麻痹往往诊断和治疗较晚，预后通常较差。相关损伤均与神经丛病变在同一侧，包括头部损伤（9例）、肩胛带损伤（5例）、胸部损伤（9例）和上肢损伤（7例）。这些其他损伤导致了臂丛神经麻痹的延迟诊断，而预后不良可能是由于治疗开始延迟以及相关损伤的严重程度所致。当在脊髓创伤患者中发现此类损伤时，考虑臂丛神经受累的可能性很重要。
