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创伤后桡神经神经瘤:一例报告。

Post-traumatic radial nerve neuroma: A case report.

作者信息

Rhoul Abdelilah, Boubcher Mohammed, Gartit Mohammed, Noumairi Mohammed, Mahla Houssam, Allam Abdallah El-Sayed, El Oumri Ahmed Amine

机构信息

Faculty of Medicine and Pharmacy, Mohammed Ist university, Oujda, Morocco.

Department of Physical Medicine and Rehabilitation, Mohammed VI University Hospital Oujda, Morocco.

出版信息

Trauma Case Rep. 2023 Aug 14;47:100913. doi: 10.1016/j.tcr.2023.100913. eCollection 2023 Oct.

DOI:10.1016/j.tcr.2023.100913
PMID:37601552
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10436167/
Abstract

INTRODUCTION

Radial nerve neuromas (RNNs) are mostly post-traumatic conditions that occur after a complete or partial section of a nerve. Here we report a case of post-traumatic RNN with good functional progression after intense physical rehabilitation.

CASE PRESENTATION

A 49 years old patient with a post-complete section of the radial nerve underwent intensive physical rehabilitation with two sessions of ultrasound-guided injections of 10 % glucose saline around the neuroma. 12 months later, the patient improved his wrist and hand finger extension functions.

CONCLUSION

Several surgical and non-surgical therapies have been proposed for the treatment of neuromas. However, no consensus currently exists, and management is frequently adapted to each patient.

摘要

引言

桡神经神经瘤(RNNs)大多是神经完全或部分离断后的创伤后病症。在此,我们报告一例创伤后RNN病例,经强化物理康复后功能进展良好。

病例介绍

一名49岁桡神经完全离断患者接受了强化物理康复治疗,包括在神经瘤周围进行了两次超声引导下的10%葡萄糖盐水注射。12个月后,患者的腕部和手指伸展功能得到改善。

结论

已经提出了几种手术和非手术疗法来治疗神经瘤。然而,目前尚无共识,治疗方案通常根据每个患者的情况进行调整。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f49/10436167/2a71af01972c/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f49/10436167/d78542c7f4b8/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f49/10436167/e69500a12d33/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f49/10436167/64b36ecc8103/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f49/10436167/2a71af01972c/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f49/10436167/d78542c7f4b8/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f49/10436167/e69500a12d33/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f49/10436167/64b36ecc8103/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f49/10436167/2a71af01972c/gr4.jpg

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本文引用的文献

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Front Neurol. 2023 Jan 11;13:1039529. doi: 10.3389/fneur.2022.1039529. eCollection 2022.
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Effect of Perineural Dextrose Injection on Ulnar Neuropathy at the Elbow: A Randomized, Controlled, Double-Blind Study.经皮葡萄糖注射治疗肘管尺神经病变的随机对照双盲研究
Arch Phys Med Rehabil. 2022 Nov;103(11):2085-2091. doi: 10.1016/j.apmr.2022.04.013. Epub 2022 Jun 9.
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Surgically Treated Neuroma in Upper Extremity: Patient Characteristics and Factors Influencing Outcome of Surgery.
上肢手术治疗的神经瘤:患者特征及影响手术结果的因素
Plast Reconstr Surg Glob Open. 2022 Jan 31;10(1):e4076. doi: 10.1097/GOX.0000000000004076. eCollection 2022 Jan.
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Efficacy of 5% Dextrose Water Injection for Peripheral Entrapment Neuropathy: A Narrative Review.5%葡萄糖水注射治疗周围神经卡压性疾病的疗效:一项叙述性综述。
Int J Mol Sci. 2021 Nov 16;22(22):12358. doi: 10.3390/ijms222212358.
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Ultrasound-Guided Injection Treatments Versus Surgical Neurectomy for Morton Neuroma: A Cost-Effectiveness Analysis.超声引导下注射治疗与手术神经切断术治疗 Morton 神经瘤的成本效果分析。
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Hand Clin. 2021 Aug;37(3):361-371. doi: 10.1016/j.hcl.2021.05.003.
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World J Clin Cases. 2020 Nov 6;8(21):5086-5098. doi: 10.12998/wjcc.v8.i21.5086.
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Semin Musculoskelet Radiol. 2020 Apr;24(2):175-180. doi: 10.1055/s-0040-1701629. Epub 2020 May 21.
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