Travlos J, Goldberg I, Boome R S
University of Cape Town, Rondebosch, Republic of South Africa.
J Bone Joint Surg Br. 1990 Jan;72(1):68-71. doi: 10.1302/0301-620X.72B1.2298797.
We reviewed 28 patients with brachial plexus lesions caused by shoulder dislocation. Contrary to most other reports, we found that the neurological lesions involved the infraclavicular and the supraclavicular brachial plexus. With supraclavicular lesions the involvement was always of the suprascapular nerve, and this always recovered spontaneously. Isolated axillary nerve lesions had the poorest prognosis for spontaneous recovery. We explored all lesions that showed no recovery after three to five months and performed either grafting or neurolysis. We discuss the combinations of nerve lesions, their recovery, the surgical indications, and the operations. We also suggest a new classification for these injuries which is more clinically relevant than the anatomical classification of Leffert and Seddon (1965).
我们回顾了28例因肩关节脱位导致臂丛神经损伤的患者。与大多数其他报告相反，我们发现神经损伤累及锁骨下和锁骨上臂丛神经。锁骨上损伤时，肩胛上神经总是受累，且总是能自发恢复。孤立的腋神经损伤自发恢复的预后最差。我们对三到五个月后仍未恢复的所有损伤进行了探查，并进行了移植或神经松解术。我们讨论了神经损伤的组合、它们的恢复情况、手术指征和手术操作。我们还提出了一种针对这些损伤的新分类方法，该方法在临床上比Leffert和Seddon（1965年）的解剖学分类更具相关性。
