Department of Physical Medicine and Rehabilitation, Hacettepe University Medical School, Ankara, Turkey.
Arch Phys Med Rehabil. 2010 Apr;91(4):656-8. doi: 10.1016/j.apmr.2010.01.001.
Reported here is a 30-year-old man who was seen because of pain and weakness in the upper extremities after a tractional injury. Physical examination revealed significant atrophy in the left deltoid and right intrinsic hand muscles, generalized hypoesthesia, decreased deep tendon reflexes bilaterally, and decreased strength in various muscle groups. Roos (right) and hyperabduction (bilateral) tests were positive. Electrodiagnostic studies were consistent with bilateral brachial plexopathy. Cervical radiographs showed long transverse process of C7 on the right side and a small rudimentary rib articulating with C7 on the left side. Brachial plexus magnetic resonance imaging demonstrated an aberrant muscle and compressive brachial plexus injury on the left side. Surgery via transaxillary approach was performed on the left side. The occurrence of traumatic brachial plexopathy in the presence of underlying thoracic outlet syndrome and subclavius posticus muscle is discussed for the first time in the literature.
现报道 1 例 30 岁男性患者，因牵引伤后出现上肢疼痛和无力就诊。体格检查显示左侧三角肌和右侧内在手部肌肉明显萎缩，全身感觉减退，双侧深腱反射减弱，各肌群力量下降。Roos（右侧）和外展（双侧）试验阳性。电诊断研究符合双侧臂丛神经病。颈椎 X 线片显示右侧 C7 长横突和左侧与 C7 相连的小肋骨。臂丛磁共振成像显示左侧异常肌肉和压迫性臂丛损伤。行腋路手术治疗左侧。该患者同时存在胸出口综合征和小斜角肌，首次在文献中报道创伤性臂丛神经病。
