Gaur S C, Swarup A
Department of Orthopaedics and Accident Surgery, Moti Lal Nehru Medical College, University of Allahabad, India.
J Hand Surg Br. 1996 Jun;21(3):338-40. doi: 10.1016/s0266-7681(05)80196-2.
Fifty-six cases of radial palsy due to injections have been seen during the last 13 years. Thirteen patients recovered spontaneously. Seven patients were treated by neurolysis, of which five had full recovery in 1 year. The remaining patients were treated by modified Robert Jones transfers. In ten cases flexor carpi ulnaris was spared as a strong flexor of the wrist, which improved the results in heavy manual workers. Radial nerve palsy caused by injection is an avoidable injury. There is a need for proper training of paramedical workers.
在过去13年中,共发现56例因注射导致的桡神经麻痹病例。13例患者自行恢复。7例患者接受了神经松解术治疗,其中5例在1年内完全康复。其余患者接受了改良的罗伯特·琼斯转移术治疗。在10例病例中,尺侧腕屈肌作为腕部强有力的屈肌得以保留,这改善了从事重体力劳动患者的治疗效果。注射导致的桡神经麻痹是一种可避免的损伤。有必要对医护辅助人员进行适当培训。