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桡骨近端骨干切开复位内固定术后拇长屈肌肌力减弱：1例报告

Flexor Pollicis Longus Weakness Post-proximal Radius Shaft Open Reduction and Internal Fixation: A Case Report.

作者信息

Qadi Sara G, Alshaynawi Shahad, Alkindy Anmar, Aldalbahi Ghazi

机构信息

Orthopedic Surgery, King Saud bin Abdulaziz University for Health Sciences, Jeddah, SAU.

Orthopedic Surgery, King Fahad General Hospital, Madinah, SAU.

出版信息

Cureus. 2024 Jun 15;16(6):e62423. doi: 10.7759/cureus.62423. eCollection 2024 Jun.

DOI:10.7759/cureus.62423
PMID:39011199
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11248461/
Abstract

We report the case of a patient who sustained a right proximal radial shaft fracture. He experienced isolated flexor pollicis longus weakness as a result of a partial anterior interosseous nerve (AIN) injury. The incidence of AIN injury is recognized as an exceptional postoperative complication for this particular type of fracture. It might be helpful to do electrodiagnostic investigations to confirm the diagnosis. A complete clinical recovery of the nerve occurred 16 weeks following the surgical operation.

摘要

我们报告了一例右桡骨近端骨干骨折患者的病例。由于部分骨间前神经（AIN）损伤，他出现了单独的拇长屈肌肌力减弱。AIN损伤的发生率被认为是这种特殊类型骨折罕见的术后并发症。进行电诊断检查以确诊可能会有所帮助。术后16周神经实现了完全临床恢复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e531/11248461/d373d73c9d0a/cureus-0016-00000062423-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e531/11248461/9b692c016a59/cureus-0016-00000062423-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e531/11248461/1c279168beff/cureus-0016-00000062423-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e531/11248461/362188bb6713/cureus-0016-00000062423-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e531/11248461/2543a2c870ab/cureus-0016-00000062423-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e531/11248461/d373d73c9d0a/cureus-0016-00000062423-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e531/11248461/9b692c016a59/cureus-0016-00000062423-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e531/11248461/1c279168beff/cureus-0016-00000062423-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e531/11248461/362188bb6713/cureus-0016-00000062423-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e531/11248461/2543a2c870ab/cureus-0016-00000062423-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e531/11248461/d373d73c9d0a/cureus-0016-00000062423-i05.jpg

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Cureus. 2024 Jun 15;16(6):e62423. doi: 10.7759/cureus.62423. eCollection 2024 Jun.
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本文引用的文献

1
Isolated Nerve Palsy of the Flexor Pollicis Longus After a Radial Shaft Fracture: A Case Report.桡骨干骨折后拇长屈肌孤立性神经麻痹：一例报告
Cureus. 2022 Sep 24;14(9):e29524. doi: 10.7759/cureus.29524. eCollection 2022 Sep.
2
Solitary paralysis of the flexor pollicis longus muscle after minimally invasive elbow procedures: anatomical and clinical study of the anterior interosseous nerve.微创肘部手术后拇长屈肌的单一瘫痪：骨间前神经的解剖学和临床研究。
Plast Reconstr Surg. 2011 Mar;127(3):1229-1236. doi: 10.1097/PRS.0b013e3182043ac0.
3
Partial anterior interosseous nerve palsy: isolated neuropraxia of the branch to flexor pollicis longus.
骨间前神经部分性麻痹：拇长屈肌分支的孤立性神经失用症。
Hand Surg. 2010;15(3):221-3. doi: 10.1142/S0218810410004928.
4
Loss of flexor pollicis longus function after plating of the radius. Report of six cases.桡骨钢板固定术后拇长屈肌功能丧失。6例报告。
J Hand Surg Br. 1997 Jun;22(3):375-6. doi: 10.1016/s0266-7681(97)80405-6.
5
Complications of plate fixation of forearm fractures.前臂骨折钢板固定的并发症
Clin Orthop Relat Res. 1983 May(175):25-9.