Zeuke W, Heidrich R
Psychiatr Neurol Med Psychol (Leipz). 1977 Feb;29(2):120-5.
A survey of the literature on problems of postoperative Duchenne-Erb paralyses caused by particular forms of arm positioning is followed by a report on observations made by the authors on a total of eleven patients. The paralyses observed were above all those of muscles of the Duchenne-Erb group. In four cases there were observed musculocutaneous paralyses. The tendency for reinnervation was good to excellent. Responsible for the development of paralysis was, in eight cases, the unphysiologic positioning of the arm during anesthesia and, as an additional straining moment, either the pressing down of the shoulders for Trendelenburg's position of the retroflection of the head in operations for struma. In three cases there was observed an involvement of that arm which had to be subjected to hyperabduction for the purpose of insuring free access to the site of operation. The careful analysis of causes requires important prophylactic considerations to be made. Also, consideration should be given to consequences in connection with insurance law, since the development of paralyses is in direct contradistinction to the risk involved in a surgical operation.
在对因特定形式的手臂定位导致术后杜兴 - 埃尔布麻痹问题的文献进行综述之后，作者报告了对总共11例患者的观察结果。观察到的麻痹主要是杜兴 - 埃尔布组肌肉的麻痹。在4例中观察到肌皮神经麻痹。神经再支配的趋势良好至极佳。在8例中，麻痹的发生是由于麻醉期间手臂的非生理性定位，并且作为额外的致伤因素，要么是为了甲状腺手术中特伦德伦伯格体位而向下按压肩部，要么是头部后屈。在3例中，观察到为确保手术部位的自由暴露而必须进行过度外展的那只手臂受到累及。对原因的仔细分析需要进行重要的预防性考虑。此外，还应考虑与保险法相关的后果，因为麻痹的发生与外科手术所涉及的风险直接相悖。
