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病例报告：小儿桡骨弹性髓内钉固定术并发桡神经运动支暂时性损伤的罕见病例。

Case Report: The unique case of flexible intramedullary nailing of pediatric radius complicated with temporary radial nerve's motor branch damage.

作者信息

Wiktor Łukasz, Tomaszewski Ryszard

机构信息

Department of Trauma and Orthopaedic Surgery, Upper Silesian Children's Health Centre, Katowice, Poland.

Department of Trauma and Orthopedic Surgery, ZSM Hospital, Chorzów, Poland.

出版信息

Front Pediatr. 2024 Jan 5;11:1325459. doi: 10.3389/fped.2023.1325459. eCollection 2023.

DOI:10.3389/fped.2023.1325459
PMID:38250596
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10796551/
Abstract

This study reported a case of radius flexible intramedullary nailing complicated by temporary paralysis of the posterior interosseous nerve due to compression of the ESIN on the nerve in an 8-year-old boy. The nerve damage resulted from an essential misconception at the surgery. Despite bad decisions made during qualifications and the procedure undertaken, restoring the nerve function, and gaining satisfactory functional fracture recovery was possible. Although it is generally acknowledged to perform retrograde flexible intramedullary nailing from the level of the distal radial metaphysis, the presentation of our case aims to emphasize the real risk of damage to the motor branch of the radial nerve when approaching the proximal metaphysis.

摘要

本研究报告了一例8岁男孩，采用桡骨弹性髓内钉固定，因弹性髓内钉对骨间后神经的压迫导致暂时性骨间后神经麻痹。神经损伤是手术中的一个基本错误观念所致。尽管在手术资格评估和手术过程中做出了错误决定，但恢复神经功能并获得满意的骨折功能恢复仍是可能的。虽然一般认为应从桡骨远端干骺端水平进行逆行弹性髓内钉固定，但我们病例的呈现旨在强调在接近近端干骺端时桡神经运动支受损的实际风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3a8/10796551/a07095f0d8a3/fped-11-1325459-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3a8/10796551/85fe4ae7dc19/fped-11-1325459-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3a8/10796551/505280b024f1/fped-11-1325459-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3a8/10796551/a07095f0d8a3/fped-11-1325459-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3a8/10796551/85fe4ae7dc19/fped-11-1325459-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3a8/10796551/505280b024f1/fped-11-1325459-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3a8/10796551/a07095f0d8a3/fped-11-1325459-g003.jpg

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