Kim S M, Goodrich J A
Arch Phys Med Rehabil. 1984 Nov;65(11):735-6.
Isolated musculocutaneous nerve injury is extremely rare. The few reported cases were associated with heavy exercises and violent extension of the forearm. The lesions in those cases were below the coracobrachialis muscle, involving the biceps, brachialis, and cutaneous nerves of the forearm. This patient's lesion was unique, located proximal to the coracobrachialis. There was no antecedent trauma. At follow-up six weeks and four months after onset of symptoms, significant improvement was noted both clinically and electrophysiologically. Musculocutaneous nerve palsy is important to distinguish in certain differential diagnoses, particularly with C5 or C6 radiculopathy and brachial plexus injury.
孤立性肌皮神经损伤极为罕见。少数报道的病例与剧烈运动和前臂暴力伸展有关。这些病例中的损伤位于肱二头肌下方,累及肱二头肌、肱肌和前臂皮神经。该患者的损伤较为独特,位于肱二头肌近端。无既往创伤史。在症状出现后六周和四个月的随访中,临床和电生理检查均显示有显著改善。在某些鉴别诊断中,尤其是与C5或C6神经根病和臂丛神经损伤相鉴别时,肌皮神经麻痹很重要。