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锁骨骨折后非典型骨痂形成所致臂丛神经损伤

[Damage to the arm plexus caused by atypical callus formation following clavicular fracture].

作者信息

Jahn R, Friedrich B

出版信息

Unfallchirurg. 1989 May;92(5):227-8.

PMID:2740919
Abstract

Secondary brachial plexus paralysis do not occur very often as a consequence of collar bone fractures. It is difficult to detect the cause, especially as there can be quite a long interval between the trauma and occurrence of the first symptoms. The problem is discussed with reference to a case observed by the authors: atypical callus formation 7 weeks after a clavicular fracture that was conservatively treated and had healed had led to brachial plexus damage. The patient was treated 11 months later by a trauma surgeon. Once the callus had been removed she was finally free of symptoms.

摘要

继发性臂丛神经麻痹作为锁骨骨折的后果并不常见。病因很难查明,尤其是因为从创伤到首次出现症状之间可能有相当长的间隔时间。本文结合作者观察到的一个病例进行讨论:一例锁骨骨折经保守治疗已愈合,但在7周后出现非典型骨痂形成,导致臂丛神经损伤。11个月后,一名创伤外科医生对该患者进行了治疗。去除骨痂后,她最终症状消失。

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