Floyd W E, Gebhardt M C, Emans J B
Department of Orthopaedic Surgery, Children's Hospital Medical Center, Harvard Medical School, Boston, Mass.
J Hand Surg Am. 1987 Sep;12(5 Pt 1):704-7. doi: 10.1016/s0363-5023(87)80052-7.
Two cases of intra-articular median nerve entrapment after reduction of elbow dislocations in children are described. The diagnosis of median nerve entrapment is often delayed. A proximal median nerve deficit, limited passive elbow motion, and an associated medial epicondyle avulsion after reduction of a child's posterior elbow dislocation should alert the surgeon to the possibility of nerve entrapment. Optimal management of this problem consists of early surgical exploration and nerve release.
本文描述了两例儿童肘关节脱位复位后关节内正中神经卡压的病例。正中神经卡压的诊断常常延迟。儿童肘关节后脱位复位后出现近端正中神经功能障碍、被动肘关节活动受限以及相关的内上髁撕脱，应提醒外科医生注意神经卡压的可能性。对此问题的最佳处理方法是早期手术探查和神经松解。
