骨间后神经降支迟缓性麻痹：前臂骨钢板内固定术后的后遗症

Tardy palsy of descending branch of posterior interosseous nerve: sequela to plate osteosynthesis of forearm bones.

作者信息

Lal Hitesh, Bansal Pankaj, Khare Rahul, Mittal Deepak

机构信息

Department of Orthopaedics, Postgraduate Institute of Medical Education and Research, Dr. Ram Manohar Lohia Hospital, New Delhi, India.

出版信息

J Hand Surg Am. 2010 Feb;35(2):274-6. doi: 10.1016/j.jhsa.2009.10.027.

DOI:10.1016/j.jhsa.2009.10.027

PMID:20141897

Abstract

We report a case of tardy paralysis of the descending branch of the posterior interosseous nerve as a consequence of plate osteosynthesis for fracture of both bone forearms. The patient had been operated on 23 years earlier and palsy occurred after a gap of 19 years. The most probable antecedent cause of the palsy was the use of a high-profile implant. The patient was treated by removal of the plate and tendon transfer.

摘要

我们报告一例因双侧前臂骨折钢板内固定术后导致骨间后神经降支迟发性麻痹的病例。该患者于23年前接受手术，19年后出现麻痹。麻痹最可能的先前原因是使用了大尺寸植入物。患者接受了钢板取出及肌腱转位治疗。