臂丛神经麻痹与帕夫利克吊带使用相关：病例报告。
Brachial Plexus Palsy Because of Pavlik Harness Use: A Case Report.
机构信息
University of Chicago Medical Center-Comer Children's Hospital, Chicago, Illinois.
University of Indiana Medical Center-Riley Hospital for Children, Indianapolis, Indiana.
出版信息
JBJS Case Connect. 2020 Jan-Mar;10(1):e0579. doi: 10.2106/JBJS.CC.19.00579.
CASE
A 2.5-month-old girl with bilateral hip dysplasia presented for orthopaedic evaluation and began treatment with a Pavlik harness. One month after the initiation of treatment, decreased use of the left upper extremity was noted, which was consistent with a brachial plexus palsy. The Pavlik harness was discontinued, and upper extremity function fully recovered within 8 weeks.
CONCLUSIONS
The Pavlik harness is an effective treatment for hip dysplasia with a low-risk profile. This case serves to remind clinicians of the risk for upper extremity traction injury when a Pavlik harness is used in patients who are large for their chronological age.
病例
一名 2.5 个月大的女孩双侧髋关节发育不良，前来接受矫形评估并开始使用帕夫利克吊带治疗。治疗开始一个月后，发现左侧上肢使用减少，符合臂丛神经麻痹。帕夫利克吊带被停用，上肢功能在 8 周内完全恢复。
结论
帕夫利克吊带是一种治疗髋关节发育不良的有效方法，风险低。本病例提醒临床医生，当帕夫利克吊带用于体型大于其实际年龄的患者时，存在上肢牵引损伤的风险。
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