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儿童肱骨髁上骨折手术后正中神经在骨内嵌压一例罕见病例报告。

A Rare Case of Median Nerve Entrapment within the Bone After Surgical Treatment of a Pediatric Supracondylar Humerus Fracture: A Case Report.

机构信息

Shaare Zedek Medical Center, Jerusalem, Israel.

出版信息

JBJS Case Connect. 2020 Jul-Sep;10(3):e20.00059. doi: 10.2106/JBJS.CC.20.00059.

Abstract

CASE

We present the rare event of median nerve bony entrapment after a supracondylar distal humerus fracture in a child. The median nerve was both clinically and electrically still, partially intact at 2 years after the injury. The nerve was surgically extracted from the bone. Follow-up evaluation a year later showed motor and sensory improvement. We found only 2 similar reports in the literature and one similar postmortem example.

CONCLUSION

We hope that this case brings awareness of an unusual complication after a commonly encountered injury.

摘要

病例

我们报告了一例儿童肱骨髁上远端骨折后正中神经骨卡压的罕见事件。受伤后 2 年,正中神经临床和电测均无反应,但部分完好。神经从骨中被手术取出。一年后的随访评估显示运动和感觉功能均有改善。我们仅在文献中发现了 2 例类似报告和 1 例类似的尸检案例。

结论

我们希望这个病例能引起人们对这种常见损伤后罕见并发症的认识。

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