Hansky B, Murray E, Minami K, Körfer R
Department of Thoracic and Cardiovascular Surgery, Heart Center North Rhine-Westfalia, University of Bochum, Bad Oeynhausen, Germany.
Eur J Cardiothorac Surg. 1993;7(9):497-8. doi: 10.1016/1010-7940(93)90281-f.
Injuries to the brachial plexus and subclavian artery are serious complications of shoulder girdle trauma. Due to the close anatomical relationship between the brachial plexus and the subclavian artery in the thoracic outlet, both structures are often simultaneously involved in shoulder girdle injuries. Isolated lesions of the subclavian artery or the brachial plexus can also occur, especially with clavicular fractures. When a false subclavian aneurysm leads to a gradually increasing compression of the brachial plexus, the neurological signs and symptoms develop insidiously after the traumatic event.
臂丛神经和锁骨下动脉损伤是肩胛带创伤的严重并发症。由于臂丛神经与锁骨下动脉在胸廓出口处解剖关系密切，这两个结构在肩胛带损伤中常同时受累。锁骨下动脉或臂丛神经的孤立性损伤也可能发生，尤其是在锁骨骨折时。当假性锁骨下动脉瘤导致臂丛神经受压逐渐加重时，神经症状和体征在创伤事件后隐匿出现。
