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孤立性胸长神经麻痹——脊柱前路手术的一种罕见并发症：病例报告

Isolated long thoracic nerve paralysis - a rare complication of anterior spinal surgery: a case report.

作者信息

Ameri Ebrahim, Behtash Hamid, Omidi-Kashani Farzad

出版信息

J Med Case Rep. 2009 Jun 23;3:7366. doi: 10.4076/1752-1947-3-7366.

DOI:10.4076/1752-1947-3-7366
PMID:19830192
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2726530/
Abstract

INTRODUCTION

Isolated long thoracic nerve injury causes paralysis of the serratus anterior muscle. Patients with serratus anterior palsy may present with periscapular pain, weakness, limitation of shoulder elevation and scapular winging.

CASE PRESENTATION

We present the case of a 23-year-old woman who sustained isolated long thoracic nerve palsy during anterior spinal surgery which caused external compressive force on the nerve.

CONCLUSION

During positioning of patients into the lateral decubitus position, the course of the long thoracic nerve must be attended to carefully and the nerve should be protected from any external pressure.

摘要

引言

孤立性胸长神经损伤会导致前锯肌麻痹。前锯肌麻痹的患者可能会出现肩胛周围疼痛、无力、肩部抬高受限和肩胛骨翼状畸形。

病例报告

我们报告一例23岁女性病例，该患者在脊柱前路手术期间发生孤立性胸长神经麻痹，手术对神经造成了外部压迫。

结论

在将患者安置为侧卧位时，必须仔细留意胸长神经的走行，应保护神经免受任何外部压力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6482/2726530/3e2e2ed8bec0/1752-1947-0003-0000007366-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6482/2726530/ee51b1d775e7/1752-1947-0003-0000007366-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6482/2726530/4c242f66e7e6/1752-1947-0003-0000007366-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6482/2726530/cf5ef8fd3e88/1752-1947-0003-0000007366-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6482/2726530/f72ea199a852/1752-1947-0003-0000007366-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6482/2726530/3e2e2ed8bec0/1752-1947-0003-0000007366-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6482/2726530/ee51b1d775e7/1752-1947-0003-0000007366-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6482/2726530/4c242f66e7e6/1752-1947-0003-0000007366-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6482/2726530/cf5ef8fd3e88/1752-1947-0003-0000007366-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6482/2726530/f72ea199a852/1752-1947-0003-0000007366-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6482/2726530/3e2e2ed8bec0/1752-1947-0003-0000007366-5.jpg

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本文引用的文献

1
Winging of the scapula: An unusual complication of needle thoracocentesis.肩胛骨翼状畸形：胸腔穿刺术的一种罕见并发症。
Eur J Intern Med. 2008 Jul;19(5):381-2. doi: 10.1016/j.ejim.2007.10.012. Epub 2007 Nov 28.
2
Scapular winging: an unusual complication of bracing in idiopathic scoliosis.肩胛翼状畸形：特发性脊柱侧凸支具治疗的一种罕见并发症。
Clin Orthop Relat Res. 2007 Aug;461:258-61.
3
Microneurolysis and decompression of long thoracic nerve injury are effective in reversing scapular winging: long-term results in 50 cases.
成人骨软骨瘤所致肩胛骨关节盂静态翼状畸形：病例系列报道
J Med Case Rep. 2012 Oct 25;6:363. doi: 10.1186/1752-1947-6-363.
胸长神经损伤的显微神经松解术及减压术在逆转肩胛翼状畸形方面有效：50例长期结果
BMC Musculoskelet Disord. 2007 Mar 7;8:25. doi: 10.1186/1471-2474-8-25.
4
Rapid recovery of serratus anterior muscle function after microneurolysis of long thoracic nerve injury.
J Brachial Plex Peripher Nerve Inj. 2007 Feb 9;2:4. doi: 10.1186/1749-7221-2-4.
5
[The bilateral long thoracic nerve palsy presenting with "scapula alata", as a result of weight training. A case report].[因负重训练导致双侧长胸神经麻痹伴“翼状肩胛”。病例报告]
Rinsho Shinkeigaku. 2005 Apr;45(4):308-11.
6
Long thoracic nerve: anatomy and functional assessment.胸长神经：解剖与功能评估。
J Bone Joint Surg Am. 2005 May;87(5):993-8. doi: 10.2106/JBJS.D.02383.
7
An isolated long thoracic nerve injury in a Navy Airman.一名海军飞行员孤立性胸长神经损伤。
Mil Med. 2004 Sep;169(9):713-5. doi: 10.7205/milmed.169.9.713.
8
Trauma to the long thoracic nerve and associated scapula winging in a low-velocity rear-end automobile collision: case report.
J Trauma. 2004 Aug;57(2):402-3. doi: 10.1097/01.ta.0000053468.19289.54.
9
Latrogenic injury to the longthoracic nerve: an underestimated cause of morbidity after cardiac surgery.
Tex Heart Inst J. 2001;28(4):315-7.
10
Serratus anterior paralysis as an occupational injury in scaffolders: two case reports.前锯肌麻痹作为脚手架工人的职业损伤：两例报告
Am J Ind Med. 2001 Dec;40(6):710-3. doi: 10.1002/ajim.10021.