Brown I C, Zinar D M
Division of Orthopaedic Surgery, Harbor-UCLA Medical Center, Torrance 90509, USA.
J Pediatr Orthop. 1995 Jul-Aug;15(4):440-3. doi: 10.1097/01241398-199507000-00005.
A retrospective review of 162 displaced supracondylar fractures in children at Los Angeles County Harbor-UCLA Medical Center from 1975-1981 revealed 23 neural injuries. These injuries occurred in 19 patients whose ages ranged from 5-11 years of age. There were 12 radial, six ulnar, and five median neuropathies detected. Four of the ulnar nerve injuries and one radial nerve injury were iatrogenic, resulting from both percutaneous pinning and open reduction and internal fixation. All of the deficits resolved spontaneously within a range of 2-6 months. The average time to resolution for traumatic injuries was 2.3 months. Fifty-eight percent of these injuries were found to be associated with a Holmberg type III fracture pattern and 42% with a type IV supracondylar fracture.
对1975年至1981年在洛杉矶县港-UCLA医疗中心收治的162例儿童移位性髁上骨折进行回顾性研究发现，有23例神经损伤。这些损伤发生在19名年龄在5至11岁之间的患者身上。检测到12例桡神经、6例尺神经和5例正中神经病变。4例尺神经损伤和1例桡神经损伤是医源性的，由经皮穿针固定以及切开复位内固定所致。所有功能障碍均在2至6个月内自发恢复。创伤性损伤恢复的平均时间为2.3个月。发现这些损伤中有58%与霍尔姆伯格III型骨折模式相关，42%与IV型髁上骨折相关。
