Hudson A R, Dommisse I
Can Med Assoc J. 1977 Nov 19;117(10):1162-4.
A 28-year-old man shot himself in the left posterior triangle of the neck with a shotgun. At the initial operation secondary repair of the resultant brachial plexus injury was decided upon in view of the difficulty in assessing lesions in continuity at this point after injury. The patient had total brachial plexus palsy. Nine weeks after the injury sensory and motor function were returning and the only element of the brachial plexus not showing evidence of nerve fibre continuity was the musculocutaneous nerve. Sural nerve autografts were sutured between the trimmed proximal and distal stumps of this nerve. By 4 months after the injury there was further improvement in both sensory and motor function, and by 18 months there was sensation in the autonomous zones of both median and ulnar nerves and good return of muscle power.
一名28岁男子用猎枪射中自己颈部左侧后三角区。在初次手术时，鉴于受伤后此时难以评估连续性损伤，决定对由此导致的臂丛神经损伤进行二期修复。患者患有全臂丛神经麻痹。受伤9周后，感觉和运动功能开始恢复，臂丛神经中唯一未显示神经纤维连续性迹象的是肌皮神经。将腓肠神经自体移植片缝合在该神经修剪后的近端和远端残端之间。受伤4个月后，感觉和运动功能进一步改善，到18个月时，正中神经和尺神经的自主区域有了感觉，肌肉力量也恢复良好。
