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[臂丛神经早期继发性损伤——锁骨骨折后一种罕见的并发症]

[Early secondary lesions of the brachial plexus--a rare complication following clavicular fracture].

作者信息

Reichenbacher D, Siebler G

出版信息

Unfallchirurgie. 1987 Apr;13(2):91-2. doi: 10.1007/BF02585986.

Abstract

Neurological complications in clavicle fractures are rare. As a primary lesion, it is caused by the trauma itself, more often the neurological symptoms develop later by large callus formation to encroach the costoclavicular space. Neurological complications early after trauma are mostly caused by the figure-of-eight bandage generally used for conservative treatment. Vascular lacerations as well as fractures of the first two ribs have to be excluded. We report about a case of complete brachial nerve paralysis two days after conservative treatment of an uncomplicated clavicle fracture.

摘要

锁骨骨折的神经并发症较为罕见。作为原发性损伤,它由创伤本身引起,更常见的是神经症状随后因大量骨痂形成侵犯锁骨下间隙而出现。创伤后早期的神经并发症大多由通常用于保守治疗的“8”字绷带引起。必须排除血管撕裂以及第一、二肋骨骨折。我们报告一例单纯性锁骨骨折保守治疗两天后出现完全性臂丛神经麻痹的病例。

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