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一名儿童肱骨近端骨折后出现的缓慢进展的臂丛神经损伤。

A slowly evolving brachial plexus injury following a proximal humeral fracture in a child.

作者信息

Drew S J, Giddins G E, Birch R

机构信息

Peripheral Nerve Injury Unit, Royal National Orthopaedic Hospital Trust, Stanmore, Middlesex, UK.

出版信息

J Hand Surg Br. 1995 Feb;20(1):24-5. doi: 10.1016/s0266-7681(05)80009-9.

DOI:10.1016/s0266-7681(05)80009-9
PMID:7759927
Abstract

The association of fractures and neurological injuries is well recognized, especially with certain upper limb fractures. Typically, the nerve injury occurs at the time of initial fracture displacement. A case is reported of an unusual combination of fracture and nerve injury in a child, with the extremely rare occurrence of a slowly evolving nerve injury. The potential for delayed nerve injury following a fracture needs to be appreciated to prevent delays in diagnosis and treatment.

摘要

骨折与神经损伤之间的关联已得到充分认识,尤其是某些上肢骨折。通常,神经损伤发生在骨折最初移位之时。本文报告了一例儿童骨折与神经损伤的罕见组合病例,其中神经损伤极为罕见地缓慢进展。需要认识到骨折后出现延迟性神经损伤的可能性,以避免诊断和治疗的延误。

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引用本文的文献

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Management of pediatric brachial plexus injuries: A cohort study utilizing the trauma quality improvement program (TQIP) database.小儿臂丛神经损伤的管理:一项利用创伤质量改进计划(TQIP)数据库的队列研究。
Childs Nerv Syst. 2025 Feb 13;41(1):111. doi: 10.1007/s00381-025-06767-8.
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Peripheral nerve injuries in the pediatric population: a review of the literature. Part I: traumatic nerve injuries.儿科人群中的周围神经损伤:文献综述。第一部分:创伤性神经损伤。
Childs Nerv Syst. 2019 Jan;35(1):29-35. doi: 10.1007/s00381-018-3974-8. Epub 2018 Sep 13.