Grundy D J, Silver J R
Injury. 1983 Jul;15(1):57-61. doi: 10.1016/0020-1383(83)90164-x.
The clinical features of combined injuries of the brachial plexus and spinal cord in 31 patients are described. Diagnosis of the brachial plexus lesion was delayed in 17 instances, and the reasons for this are discussed. Early diagnosis is important so that definitive treatment and long-term plans can be instituted without delay. This dual lesion constitutes a very severe disability; as a direct result of their brachial plexus paralysis, 9 paraplegics did not achieve their predicted level of independence. Possible mechanisms of injury are suggested. Motorcycle accidents are particularly likely to cause these injuries, and a plea is made for further legislation to reduce the risks of injuries to young motorcyclists.
本文描述了31例臂丛神经与脊髓联合损伤患者的临床特征。17例臂丛神经损伤的诊断出现延迟，并对其原因进行了讨论。早期诊断很重要，以便能够立即开展确定性治疗和制定长期计划。这种双重损伤会导致非常严重的残疾；由于臂丛神经麻痹，9例截瘫患者未能达到预期的独立水平。文中提出了可能的损伤机制。摩托车事故尤其容易导致这些损伤，呼吁进一步立法以降低年轻摩托车骑手受伤的风险。
