骨折愈合处对正中神经的中度卡压：儿童肱骨髁上骨折手术治疗后 1 例报告。
High Median Nerve Entrapment by Fracture Callus in Surgically Treated Pediatric Supracondylar Humeral Fracture: A Case Report.
机构信息
Department of Orthopaedic Surgery, Seikeikai Hospital, Sakai City, Osaka, Japan.
Department of Orthopaedic Surgery, Shiraniwa Hospital, Ikoma, Japan.
出版信息
JBJS Case Connect. 2022 Feb 2;12(1):01709767-202203000-00041. doi: e21.00737.
CASE
We describe a patient with incomplete high median nerve palsy after surgical treatment of pediatric supracondylar humeral fracture (SCHF). Preoperative images after 11 months after the surgical treatment of the SCHF showed rotational deformity and an isolated median nerve entrapped between the proximal humerus anteriorly and callus posteriorly in the bony tunnel of the distal humerus. Two years after neurolysis, he showed clinical recovery. Four cases similar to our case were reported previously.
CONCLUSION
Common pediatric fractures may cause unusual neuropathy. Rotational deformity of fracture might be an important factor for isolated median nerve entrapment after SCHF.
病例
我们描述了一例儿童肱骨髁上骨折（SCHF）手术后不完全高位正中神经麻痹的患者。SCHF 手术后 11 个月的术前图像显示旋转畸形和正中神经被卡在肱骨近端前侧和骨隧道后侧的骨痂之间。神经松解术后 2 年，他出现了临床恢复。先前有 4 例类似我们的病例报告。
结论
常见的儿童骨折可能导致不常见的神经病变。骨折的旋转畸形可能是 SCHF 后正中神经单独受压的一个重要因素。
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