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尺骨近端闭合性骨折后骨间前神经麻痹:一例报告并文献复习

Anterior interosseous nerve palsy following closed fracture of the proximal ulna. A case report and review of the literature.

作者信息

Mirovsky Y, Hendel D, Halperin N

机构信息

Department of Orthopaedics A, Assaf Harofeh Medical Center, Zerifin, Beer Yaakov, Israel.

出版信息

Arch Orthop Trauma Surg (1978). 1988;107(1):61-4. doi: 10.1007/BF00463528.

Abstract

Complete paralysis of the anterior interosseous nerve was seen in 32-year-old army officer 5 weeks after he sustained a minimally displaced fracture of the proximal ulna. The fracture was immobilized in an arm cast. Thirteen weeks after injury, the cast was removed following evidence of bone union. Complete recovery of the flexor pollicis longus was noted 17 weeks after the injury, while recovery of the flexor profundus to the index finger to grade four lasted 10 months. To the best of our knowledge, this is the first case reported in the English language literature in which anterior interosseous nerve palsy follows isolated fracture of the proximal ulna.

摘要

一名32岁的陆军军官在尺骨近端发生轻微移位骨折5周后,出现了骨间前神经完全麻痹。骨折部位用手臂石膏固定。受伤13周后,在有骨愈合迹象后拆除了石膏。受伤17周后,拇长屈肌完全恢复,而示指深屈肌恢复到四级持续了10个月。据我们所知,这是英文文献中报道的第一例因尺骨近端孤立骨折后出现骨间前神经麻痹的病例。

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