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儿童自行车损伤后发生腓总神经受压。

Compression peroneal neuropathy following a bicycle injury in a child.

机构信息

Department of Pediatric Orthopedics, Aristotle University of Thessaloniki, Thessaloniki, Greece.

出版信息

Med Sci Monit. 2010 Apr;16(4):CS45-49.

PMID:20357722
Abstract

BACKGROUND

The spectrum of bicycle riding injuries is extremely wide. However, compression peroneal neuropathy complicating a bicycle injury has not been previously reported.

CASE REPORT

An 11-year-old girl with common peroneal neuropathy is presented. Her knee was caught in between the chain stay and the crank arm on the left side of her bicycle and was jammed. Clinical examination indicated a motor paralysis producing foot drop and a sensory deficit over the lateral calf and the dorsum of the foot. Magnetic resonance imaging (MRI), although not diagnostic, provided useful information regarding soft tissue injury in relation to the common peroneal nerve's course in the popliteal fossa. An electrodiagnostic (EDX) study was indicative of a common peroneal neuropathy. Complete recovery of the peroneal nerve was noted 7 months post-injury.

CONCLUSIONS

Compression peroneal neuropathy may be included in traumatic bicycle-related injuries, while the space between the chain stay and the crank arm on the left side of the bicycle may be recognized as potentially hazardous to entrap the rider's leg.

摘要

背景

自行车骑行损伤的范围非常广泛。然而,之前并没有报道过因自行车损伤而并发的腓总神经受压。

病例报告

现报告一例 11 岁女孩患常见腓总神经病变。她的膝盖被卡在自行车左侧的链杆和曲柄臂之间,被卡住了。临床检查显示运动麻痹导致足下垂和小腿外侧及足部背侧感觉缺失。磁共振成像(MRI)虽然不能确诊,但提供了有关腓总神经在腘窝内走行的软组织损伤的有用信息。电诊断(EDX)研究提示腓总神经病变。受伤后 7 个月,腓总神经完全恢复。

结论

压迫性腓总神经病变可能包含在与自行车相关的创伤性损伤中,而自行车左侧的链杆和曲柄臂之间的空间可能被认为对夹住骑车者的腿部有潜在危险。

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