Kokkalis Zinon, Papagiannis Spyridon, Kouzelis Antonis, Diamantakis George, Panagopoulos Andreas
Orthopaedics and Traumatology, Patras University Hospital, Patras, GRC.
Cureus. 2022 Apr 30;14(4):e24626. doi: 10.7759/cureus.24626. eCollection 2022 Apr.
Traumatic brachial plexus injuries are serious, life-changing injuries that are becoming more common worldwide. A thorough physical examination, as well as radiologic and electrodiagnostic tests, are all part of the initial evaluation. Parameters such as injury patterns, the timing of intervention, patients' expectations, and pre-injury functional level should always be considered. A bilateral brachial plexus injury is a very uncommon occurrence. To our knowledge, only one case of a bilateral brachial plexus injury associated with trauma has been published in recent literature. We present a rare case of a 19-year-old man who sustained a bilateral brachial plexus injury after a motorbike accident. The patient underwent exploration of the left brachial plexus and a modified Oberlin procedure on his left arm. The right plexus injury was managed conservatively. After a follow-up period of 12 months, the patient completely returned to his previous functional level.
创伤性臂丛神经损伤是严重的、改变生活的损伤,在全球范围内正变得越来越常见。全面的体格检查以及放射学和电诊断测试都是初始评估的一部分。诸如损伤模式、干预时机、患者期望和伤前功能水平等参数应始终予以考虑。双侧臂丛神经损伤是非常罕见的情况。据我们所知,近期文献中仅发表过一例与创伤相关的双侧臂丛神经损伤病例。我们报告一例罕见病例,一名19岁男性在摩托车事故后遭受双侧臂丛神经损伤。患者接受了左侧臂丛神经探查及左臂改良奥伯林手术。右侧神经丛损伤采用保守治疗。经过12个月的随访期,患者完全恢复到了之前的功能水平。