Lu Cheng-Chang, Chuo Chin-Yi, Chen Shen-Kai, Huang Yu-Han, Chou Pei-Hsi
Department of Orthopedic Surgery, Kaohsiung Municipal Hsiao-Kang Hospital, Kaohsiung, Taiwan.
Kaohsiung J Med Sci. 2007 Mar;23(3):151-5. doi: 10.1016/S1607-551X(09)70391-2.
In adolescents, neurovascular injury, especially ulnar nerve injury, is rare with fracture of the distal radius. We present a 14-year-old boy who sustained fracture of the distal radius in his right wrist, who also had symptoms of ulnar nerve injury. Close reduction with percutaneous pinning and cast to fix the distal radius fracture was done immediately. Then, we decided to observe the recovery of the nerve injury without providing any emergent nerve exploration. Bone union was achieved after 8 weeks of fixation, and the function of the ulnar nerve was restored completely after 16 weeks of observation. The possibility of ulnar nerve injury should be considered following fracture of the distal aspect of the radius, and we recommend observing the recovery of nerve injury, with no need for emergent nerve exploration.
在青少年中,桡骨远端骨折时神经血管损伤,尤其是尺神经损伤很少见。我们报告一名14岁男孩,其右腕发生桡骨远端骨折,同时伴有尺神经损伤症状。立即进行了闭合复位经皮穿针固定并石膏固定桡骨远端骨折。然后,我们决定观察神经损伤的恢复情况,不进行任何急诊神经探查。固定8周后实现骨愈合,观察16周后尺神经功能完全恢复。桡骨远端骨折后应考虑尺神经损伤的可能性,我们建议观察神经损伤的恢复情况,无需急诊神经探查。