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肱骨内上髁骨折致少年正中神经卡压:1 例报告。

Median nerve entrapment in an adolescent medial epicondyle fracture of humerus: A case report.

机构信息

Department of Orthopedics and Traumatology, Private Muş Şifa Hospital, Muş-Türkiye.

出版信息

Ulus Travma Acil Cerrahi Derg. 2022 Aug;28(8):1200-1203. doi: 10.14744/tjtes.2020.45742.

DOI:10.14744/tjtes.2020.45742
PMID:35920422
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10315974/
Abstract

A 14-year-old boy with a displaced medial epicondyle fracture without elbow dislocation was found to have an entrapped median nerve. Entrapment of the median nerve is a potential consequence of a displaced medial epicondyle fracture, even when there are no neu-rologic deficits on presentation. This provides additional support for the open reduction of these fractures rather than percutaneous treatment or non-operative management. The early identification and release of an interposed median nerve are imperative to prevent the catastrophic consequences of the upper extremity nerve palsy in children, as well as to optimize fracture healing and development.

摘要

一名 14 岁男孩,肘部未脱位但存在内侧髁突移位骨折,被发现正中神经受压。即使在就诊时没有神经缺损,正中神经受压也是内侧髁突移位骨折的潜在后果。这为开放性复位治疗这些骨折提供了更多支持,而不是经皮治疗或非手术治疗。早期识别和释放受压的正中神经对于预防儿童上肢神经瘫痪的灾难性后果至关重要,同时也有助于优化骨折愈合和发育。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78a1/10315974/bf20b71e8600/TJTES-28-1200-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78a1/10315974/268f7ea6db3a/TJTES-28-1200-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78a1/10315974/50901c4070f2/TJTES-28-1200-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78a1/10315974/d5f5f8bdc9c6/TJTES-28-1200-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78a1/10315974/46f6aa09bc43/TJTES-28-1200-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78a1/10315974/bf20b71e8600/TJTES-28-1200-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78a1/10315974/268f7ea6db3a/TJTES-28-1200-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78a1/10315974/50901c4070f2/TJTES-28-1200-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78a1/10315974/d5f5f8bdc9c6/TJTES-28-1200-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78a1/10315974/46f6aa09bc43/TJTES-28-1200-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78a1/10315974/bf20b71e8600/TJTES-28-1200-g005.jpg

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本文引用的文献

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2
A rare case of Elbow dislocation with medial epicondyle fracture associated to ulnar neuropraxia.一例罕见的伴有内侧髁上骨折及尺神经失用症的肘关节脱位。
J Surg Case Rep. 2017 Oct 20;2017(10):rjx198. doi: 10.1093/jscr/rjx198. eCollection 2017 Oct.
3
Median Nerve Entrapment after Elbow Dislocation and the Role of Ultrasonography - A Case Report.
肘关节脱位后正中神经卡压及超声检查的作用——病例报告
J Orthop Case Rep. 2017 May-Jun;7(3):21-24. doi: 10.13107/jocr.2250-0685.788.
4
Pediatric medial epicondyle fractures with intra-articular elbow incarceration.小儿内侧髁骨折伴肘关节关节内嵌顿
J Orthop Traumatol. 2015 Jun;16(2):117-23. doi: 10.1007/s10195-014-0310-2. Epub 2014 Jul 26.
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Treatment of medial epicondyle fracture without associated elbow dislocation in older children and adolescents.治疗大龄儿童和青少年伴发肘关节脱位的尺骨鹰嘴骨折。
Yonsei Med J. 2012 Nov 1;53(6):1190-6. doi: 10.3349/ymj.2012.53.6.1190.
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Medial epicondyle fractures in the pediatric population.儿童人群中的内上髁骨折。
J Am Acad Orthop Surg. 2012 Apr;20(4):223-32. doi: 10.5435/JAAOS-20-04-223.
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Magnetic resonance imaging of the elbow. Part II: Abnormalities of the ligaments, tendons, and nerves.肘部的磁共振成像。第二部分:韧带、肌腱和神经的异常。
Skeletal Radiol. 2005 Jan;34(1):1-18. doi: 10.1007/s00256-004-0854-y. Epub 2004 Oct 5.
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