Hansen Pernille, Noer Hans Henrik
Flagebakken 211, DK-5700 Svendborg.
Ugeskr Laeger. 2008 Nov 24;170(48):3967.
It is well known that cast immobilization can cause pressure on the common peroneal nerve. In this case a 64-year-old female patient had a fracture of the distal fibula (SU2, according to Lauge Hansens classification of angle fractures). This avulsion was conservatively treated and immobilized in a flexible cast. Unfortunately, the cast was too high, the metal plates inside it caused pressure on the common peroneal nerve and the patient sustained a peroneal palsy.
众所周知,石膏固定会对腓总神经造成压迫。在本病例中,一名64岁女性患者发生了腓骨远端骨折(根据Lauge Hansen角骨折分类为SU2型)。该撕脱伤采用保守治疗,并用柔性石膏固定。不幸的是,石膏位置过高,其内部的金属板对腓总神经造成了压迫,患者出现了腓神经麻痹。