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肱骨髁上骨折后尺神经麻痹

Ulnar nerve palsy after supracondylar humerus fracture.

作者信息

Uchida Y, Sugioka Y

机构信息

Department of Orthopedics, Faculty of Medicine, Kyushu University, Fukuoka, Japan.

出版信息

Acta Orthop Scand. 1990 Apr;61(2):118-9. doi: 10.3109/17453679009006501.

DOI:10.3109/17453679009006501
PMID:2360426
Abstract

Six patients with cubitus varus deformity after a supracondylar fracture of the humerus had ulnar nerve palsy 7 (3-14) years following the fracture. All the patients showed anterior dislocation of the ulnar nerve during elbow flexion. In cubitus varus deformity, medial shifting of the triceps muscle occurs, which pushes the ulnar nerve anteriorly and frequently causes ulnar-nerve dislocation. Five of the 6 patients underwent surgery with subsequent improvement.

摘要

6例肱骨髁上骨折后出现肘内翻畸形的患者在骨折7(3 - 14)年后发生尺神经麻痹。所有患者在肘关节屈曲时均表现出尺神经向前脱位。在肘内翻畸形中,肱三头肌向内侧移位,将尺神经向前推,常导致尺神经脱位。6例患者中有5例接受了手术,术后病情有所改善。

相似文献

1
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引用本文的文献

1
Association of Clinical Findings With Complications in the Cubitus Varus Deformity After Supracondylar Fracture.临床发现与尺骨畸形愈合后肘内翻畸形并发症的关系。
J Am Acad Orthop Surg Glob Res Rev. 2024 Oct 14;8(10). doi: 10.5435/JAAOSGlobal-D-24-00272. eCollection 2024 Oct 1.
2
Ulnar nerve morbidity as a long-term complication of pediatric supracondylar humeral fracture.尺神经病变作为儿童肱骨髁上骨折的一种长期并发症。
Musculoskelet Surg. 2014 Aug;98(2):127-33. doi: 10.1007/s12306-013-0291-y. Epub 2013 Aug 10.
3
Ulnar nerve injury after a comminuted fracture of the humeral shaft from a high-velocity accident: a case report.
高速事故导致肱骨干粉碎性骨折后尺神经损伤:一例报告
J Med Case Rep. 2012 Jul 10;6:192. doi: 10.1186/1752-1947-6-192.
4
The stiff elbow.僵硬的肘部。
Hand (N Y). 2009 Dec;4(4):368-79. doi: 10.1007/s11552-009-9181-z. Epub 2009 Apr 7.
5
[Ulnar nerve lesions after osteosynthesis of a supercondylar humerus fracture during childhood. Indications for revision].儿童肱骨髁上骨折内固定术后尺神经损伤。翻修指征
Unfallchirurg. 2006 Dec;109(12):1090-3. doi: 10.1007/s00113-006-1146-x.
6
[Does the degree of dislocation correlate with therapy procedure in supracondylar humerus fractures in childhood?].[儿童肱骨髁上骨折的脱位程度与治疗方法相关吗?]
Unfallchirurgie. 1996 Oct;22(5):202-8. doi: 10.1007/BF02641221.