Rao S B, Crawford A H
Department of Paediatric Orthopaedics, Children's Hospital Medical Center, Cincinnati, OH 45229, USA.
Clin Orthop Relat Res. 1995 Mar(312):232-7.
Median nerve injury after elbow dislocation is uncommon. Reported are 2 cases of median nerve paralysis caused by entrapment within the elbow joint. For both patients, the diagnosis was made several months after the injury at surgical exploration. This complication occurs almost exclusively in the skeletally immature. A median nerve deficit after reduction of an elbow dislocation in children, especially when associated with a medial epicondylar fracture, should be an indication for surgical exploration and release of the entrapped nerve.
肘关节脱位后正中神经损伤并不常见。本文报告2例因正中神经被卡压在肘关节内而导致的正中神经麻痹病例。对于这两名患者，均在损伤后数月手术探查时才做出诊断。这种并发症几乎仅发生在骨骼未成熟的人群中。儿童肘关节脱位复位后出现正中神经功能缺损，尤其是伴有肱骨内上髁骨折时，应提示进行手术探查并松解被卡压的神经。
