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超声引导下经神经羊膜和脐带微粒注射治疗医源性桡神经麻痹

Ultrasound (US)-Guided Perineural Amniotic Membrane and Umbilical Cord Particulate Injections for Iatrogenic Radial Nerve Palsy.

作者信息

Gartit Mohammed, Rhoul Abdelilah, Noumairi Mohamed, El Oumri Ahmed Amine

机构信息

Physical Medicine and Rehabilitation, Mohammed VI University Hospital, Oujda, MAR.

Faculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, MAR.

出版信息

Cureus. 2024 Oct 6;16(10):e70949. doi: 10.7759/cureus.70949. eCollection 2024 Oct.

Abstract

Radial nerve injury is a common occurrence in the upper extremities, with various treatment options available such as neurolysis, nerve grafts, or tendon transfers. Recently, amniotic membrane and umbilical cord (AM/UC) particulates have emerged as promising treatments for this type of nerve pathology. Here, we report a new case involving a 24-year-old man who experienced total paralysis of the radial nerve following a humerus shaft fracture. He was treated with peri-nerve injections of AM/UC and underwent an intensive physical rehabilitation program. Three months after the initial injury, significant progress was observed in both motor and sensory functions of his radial nerve.

摘要

桡神经损伤在上肢较为常见,有多种治疗选择,如神经松解术、神经移植或肌腱转移术。最近,羊膜和脐带(AM/UC)微粒已成为治疗这类神经病变的有前景的方法。在此,我们报告一例新病例,一名24岁男性在肱骨干骨折后出现桡神经完全麻痹。他接受了AM/UC的神经周围注射治疗,并进行了强化物理康复计划。在初次受伤三个月后,其桡神经的运动和感觉功能均有显著改善。

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