Department of Orthopaedic Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin.
Department of Orthopaedic Surgery, Children's Wisconsin, Milwaukee, Wisconsin.
JBJS Case Connect. 2021 Sep 24;11(3):01709767-202109000-00123. doi: e21.00276.
A 12-year-old girl presented with a both-bone forearm fracture after a fall. Fracture healing occurred, but nerve injury was not addressed until 18 months after injury. Magnetic resonance imaging and electromyography yielded a median nerve injury, and she underwent nerve reconstruction with sural nerve grafting. She improved but continued to have deficits beyond her 1-year follow-up.
Both-bone forearm fractures are a common fracture pattern with rare complications. Clinicians should have a high index of suspicion with persistent nerve symptoms and consider further investigation, given the importance of early nerve repair.
一名 12 岁女孩在跌倒后出现双侧前臂骨折。骨折愈合，但神经损伤直到受伤后 18 个月才得到处理。磁共振成像和肌电图显示正中神经损伤，她接受了腓肠神经移植的神经重建。她有所改善，但在 1 年随访后仍存在遗留问题。
双骨前臂骨折是一种常见的骨折类型，很少出现并发症。对于持续存在神经症状的患者，临床医生应保持高度警惕，并考虑进一步检查，因为早期神经修复非常重要。
