非手术治疗肥厚性锁骨骨痂导致的迟发性臂丛神经病：病例报告。

Nonsurgical Treatment of Delayed-Onset Brachial Plexopathy Due to Hypertrophic Clavicular Callus: A Case Report.

机构信息

Department of Orthopaedics and Rehabilitation, Oregon Health & Science University, Portland, OR.

Department of Diagnostic Radiology, Oregon Health & Science University, Portland, OR.

出版信息

PM R. 2018 Apr;10(4):426-430. doi: 10.1016/j.pmrj.2017.08.448. Epub 2017 Sep 12.

DOI:10.1016/j.pmrj.2017.08.448

PMID:28919186

Abstract

UNLABELLED

Clavicular fractures are common injuries that traditionally are managed nonsurgically without clinically significant sequelae. However, they may develop hypertrophic callus formation that compresses the brachial plexus. These cases may present months to years after initial injury with varying degrees of pain, paresthesia, and weakness on the affected side and usually are treated by surgical resection of the hypertrophic callus. We present a case of brachial plexopathy due to hypertrophic clavicular callus causing weakness and paresthesia. The plexopathy was confirmed with imaging and electrodiagnostic studies. This case was unusual in that resolution of symptoms was achieved nonsurgically.

LEVEL OF EVIDENCE

摘要

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锁骨骨折是常见的损伤，传统上采用非手术方法治疗，不会产生明显的临床后遗症。然而，它们可能会形成肥厚性骨痂，从而压迫臂丛神经。这些病例可能在初始损伤后数月至数年出现，表现为患侧不同程度的疼痛、感觉异常和无力，通常通过手术切除肥厚性骨痂来治疗。我们报告一例因肥厚性锁骨骨痂引起的臂丛神经病，导致无力和感觉异常。通过影像学和电诊断研究证实了该丛神经病。该病例不寻常之处在于症状未经手术即得到缓解。