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肱骨头垂直脱位后并发孤立性短暂性桡神经麻痹：1例报告

Isolated Transitory Radial Nerve Palsy as a Complication After Luxatio Erecta Humeri: A Case Report.

作者信息

Lachkar Adnane, Abdeljaouad Najib, Yacoubi Hicham

机构信息

Orthopedic Trauma Department B, Mohammed VI University Hospital, Oujda, MAR.

Orthopedic Trauma Department B, Faculty of Medicine and Pharmacy of Oujda, Mohamed First University, Oujda, MAR.

出版信息

Cureus. 2024 Sep 11;16(9):e69210. doi: 10.7759/cureus.69210. eCollection 2024 Sep.

DOI:10.7759/cureus.69210
PMID:39398656
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11469700/
Abstract

Shoulder dislocations are common, with luxatio erecta humeri (LEH) being a rare variant. This report discusses a case of isolated transitory radial nerve palsy following LEH, which occurred after a high-energy motorcycle accident. Neurological examination revealed radial nerve involvement. Following reduction of the dislocation and appropriate physiotherapy, the patient experienced full functional recovery. This case underscores the rarity of isolated radial nerve palsy in LEH and highlights the importance of thorough neurological assessment in such injuries.

摘要

肩关节脱位很常见，而肩关节直举脱位（LEH）是一种罕见的变异类型。本报告讨论了一例LEH后出现的孤立性短暂性桡神经麻痹病例，该病例发生在一次高能摩托车事故之后。神经学检查显示桡神经受累。脱位复位并进行适当的物理治疗后，患者功能完全恢复。该病例强调了LEH中孤立性桡神经麻痹的罕见性，并突出了对此类损伤进行全面神经学评估的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8fa3/11469700/78f0fe19a0cf/cureus-0016-00000069210-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8fa3/11469700/82b888d09a3d/cureus-0016-00000069210-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8fa3/11469700/422358c682f3/cureus-0016-00000069210-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8fa3/11469700/9f68a942267b/cureus-0016-00000069210-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8fa3/11469700/7400977c6157/cureus-0016-00000069210-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8fa3/11469700/78f0fe19a0cf/cureus-0016-00000069210-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8fa3/11469700/82b888d09a3d/cureus-0016-00000069210-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8fa3/11469700/422358c682f3/cureus-0016-00000069210-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8fa3/11469700/9f68a942267b/cureus-0016-00000069210-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8fa3/11469700/7400977c6157/cureus-0016-00000069210-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8fa3/11469700/78f0fe19a0cf/cureus-0016-00000069210-i05.jpg

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本文引用的文献

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Luxatio erecta of the humerus: the spectrum of injury of inferior shoulder dislocation and analysis of injury mechanisms.肱骨垂直脱位：肩关节下脱位的损伤谱及损伤机制分析
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Associated Pathologies following Luxatio Erecta Humeri: A Retrospective Analysis of 38 Cases.肱骨头垂直脱位后的相关病理：38例回顾性分析
J Clin Med. 2022 Jan 17;11(2):453. doi: 10.3390/jcm11020453.
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Tendon transfers: part I. Principles of transfer and transfers for radial nerve palsy.肌腱转移术：第一部分。转移原则及桡神经麻痹的转移术
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