From the Department of Orthopaedics, Connecticut Children's Medical Center, Hartford, CT (Dr. Chaudhry), the Department of Orthopaedics, University of Colorado, Denver, CO (Dr. Ipaktchi), and Department of Surgery, Rutgers New Jersey Medical School, Newark, NJ (Dr. Ignatiuk).
J Am Acad Orthop Surg. 2019 Mar 15;27(6):e280-e284. doi: 10.5435/JAAOS-D-17-00325.
Radial nerve injuries are among the most common major traumatic peripheral nerve injuries. Recent literature has updated our knowledge of aspects ranging from radial nerve anatomy to treatment options. Observation and tendon transfers were, and still are, the mainstays of management. However, the improved outcomes of nerve repair even 5 months after injury have changed the treatment algorithm. Nerve repair techniques using conduits, wraps, autograft, and allograft allow tension-free coaptations to improve success. Nerve transfers have evolved to allow a more anatomic recovery of function if used in a timely manner. This review offers an update on radial nerve injuries that reflects recent advances.
桡神经损伤是最常见的主要外伤性周围神经损伤之一。最近的文献更新了我们对从桡神经解剖到治疗选择等各个方面的认识。观察和肌腱转移一直是(并且仍然是)管理的主要方法。但是,即使在受伤后 5 个月,神经修复的改善结果也改变了治疗方案。使用导管、包裹物、自体移植物和同种异体移植物的神经修复技术可以实现无张力的吻合,从而提高成功率。神经转移已经发展到如果及时使用,可以实现更具解剖学功能的恢复。本综述反映了最近的进展,提供了桡神经损伤的最新信息。