Fitzsimmons A S, O'Dell M W, Guiffra L J, Sandel M E
Mediplex Rehab, Incorporated, Camden, NJ.
Arch Phys Med Rehabil. 1993 Jul;74(7):770-3. doi: 10.1016/0003-9993(93)90042-9.
As unrelated complications, peripheral nerve injury and heterotopic ossification (HO) are frequently observed in brain injured patients. Our case presentation is a 24-year-old man who sustained a brain injury in a motor vehicle accident. At two months postinjury he remained at a Rancho Level II and had HO identified in eight joints. Over the next several months, his cognition improved and he demonstrated active movement at the left wrist, but no movement at the right wrist. Plain radiographs and bone scan were consistent with myositis ossification posterior to the right mid-humerus and no fracture was identified. Electromyography revealed a right radial nerve injury below the branch to the triceps. Nine months postinjury, the patient had 4-/5 strength in right wrist extension. A thorough evaluation of all possible etiologies for a given impairment may lead to altered treatment and/or prognosis.
作为不相关的并发症，周围神经损伤和异位骨化（HO）在脑损伤患者中经常被观察到。我们的病例报告是一名24岁男性，他在机动车事故中遭受了脑损伤。受伤后两个月，他仍处于兰乔II级，并且在八个关节中发现了异位骨化。在接下来的几个月里，他的认知能力有所改善，左手腕表现出主动活动，但右手腕没有活动。X线平片和骨扫描与右肱骨中段后方的骨化性肌炎一致，未发现骨折。肌电图显示右桡神经在肱三头肌分支以下损伤。受伤九个月后，患者右手腕伸展力量为4/5级。对特定损伤的所有可能病因进行全面评估可能会导致治疗和/或预后的改变。
