锁骨骨折不愈合固定后短暂性臂丛神经病：1 例报告。
Transient Brachial Plexopathy After Fixation of a Clavicle Fracture Nonunion: A Case Report.
机构信息
School of Medicine, The University of Texas Medical Branch, Galveston, Texas.
Department of Orthopaedic Surgery and Rehabilitation, The University of Texas Medical Branch, Galveston, Texas.
出版信息
JBJS Case Connect. 2020 Apr-Jun;10(2):e0434. doi: 10.2106/JBJS.CC.19.00434.
CASE
A 54-year-old man presented with a comminuted left midclavicle fracture that progressed to a symptomatic nonunion after nonsurgical management. Nonunion open reduction and internal fixation (ORIF) was performed, but a left brachial plexopathy developed 48 hours postoperatively. Imaging failed to demonstrate an emergent cause. The patient was monitored and completely recovered, with occasional neuralgia and mildly limited forward elevation of the shoulder.
CONCLUSION
Development of a brachial plexopathy 48 hours after routine clavicle nonunion ORIF using plate fixation is an unusual complication. Future studies are needed to determine if this "wait-and-see" approach can be generalized to similar cases.
病例
一名 54 岁男性，因左锁骨中段粉碎性骨折就诊，经非手术治疗后进展为症状性骨不连。行非联合开放性复位内固定（ORIF），但术后 48 小时发生左侧臂丛神经病。影像学检查未发现紧急原因。患者接受了监测并完全康复，偶尔出现神经痛和肩部轻度前举受限。
结论
使用钢板固定常规锁骨骨不连 ORIF 后 48 小时发生臂丛神经病是一种不常见的并发症。需要进一步研究以确定这种“观察等待”的方法是否可以推广到类似病例。
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