闭合性前臂近端骨折后骨间后神经麻痹

Posterior interosseous nerve palsy after closed proximal forearm fractures.

作者信息

Bulstra L F, Schep N W L, van der Vlies C H

机构信息

Department of Surgery, Maasstad Hospital, Maasstadweg 21, 3079 DZ Rotterdam, the Netherlands.

Erasmus University Rotterdam, Faculty of Medicine, Erasmus University Medical Center, Wytemaweg 80, 3015 CN Rotterdam, the Netherlands.

出版信息

Trauma Case Rep. 2019 Aug 28;23:100240. doi: 10.1016/j.tcr.2019.100240. eCollection 2019 Oct.

DOI:10.1016/j.tcr.2019.100240

PMID:31497636

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6719290/

Abstract

Although rare, posterior interosseous nerve (PIN) palsy can occur in patients with a closed proximal forearm fracture and may present in a delayed fashion after initial trauma. In this case series, three cases of posterior interosseous nerve (PIN) injury following proximal forearm fractures are presented and discussed. Our literature search yielded six studies concerning PIN injury in radial head/neck fractures and proximal forearm fractures. Out of a total of 8 patients, 7 patients were treated non-operatively and in one patient a PIN release was performed. One patient was lost to follow-up, all other 7 patients showed successful recovery. A treatment algorithm for PIN palsy after proximal forearm fractures is provided. Based on our experience and what we found in literature, it seems safe to treat PIN palsies conservatively.

摘要

虽然罕见，但闭合性前臂近端骨折患者可能会发生骨间后神经（PIN）麻痹，且可能在初始创伤后延迟出现。在本病例系列中，我们展示并讨论了3例前臂近端骨折后骨间后神经（PIN）损伤的病例。我们的文献检索得到了6项关于桡骨头/颈骨折和前臂近端骨折中PIN损伤的研究。在总共8例患者中，7例接受了非手术治疗，1例患者进行了PIN松解术。1例患者失访，其他7例患者均成功康复。我们提供了一种前臂近端骨折后PIN麻痹的治疗方案。根据我们的经验以及在文献中的发现，保守治疗PIN麻痹似乎是安全的。