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孟氏骨折中桡骨头脱位未复位导致的迟发性骨间后神经麻痹:两例报告

Tardy posterior interosseous nerve palsy as a result of an unreduced radial head dislocation in Monteggia fractures: a report of two cases.

作者信息

Holst-Nielsen F, Jensen V

出版信息

J Hand Surg Am. 1984 Jul;9(4):572-5. doi: 10.1016/s0363-5023(84)80112-4.

DOI:10.1016/s0363-5023(84)80112-4
PMID:6747244
Abstract

Tardy palsy of the posterior interosseous nerve after a malunited Monteggia fracture with an unreduced dislocation of the radial head is considered to be extremely rare. Four earlier cases were treated by excision of the radial head or by tendon transfers. Another two cases have been reported, both treated successfully by decompression of the nerve in the radial tunnel between the two heads of the supinator. This simple operation should be given a trial before tendon transfers are considered, even if the palsy has been of long duration.

摘要

孟氏骨折畸形愈合且桡骨头脱位未复位后出现骨间后神经迟发性麻痹被认为极为罕见。此前有4例通过桡骨头切除术或肌腱转位进行治疗。另有2例报告,均通过对旋后肌两个头之间桡管内的神经进行减压成功治愈。即使麻痹已经持续很长时间,在考虑肌腱转位之前,也应尝试这种简单的手术。

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