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儿童前臂中段骨折后的尺神经损伤

Ulnar nerve injury following midshaft forearm fractures in children.

作者信息

Stahl S, Rozen N, Michaelson M

机构信息

Rambam Medical Center, Haifa, Israel.

出版信息

J Hand Surg Br. 1997 Dec;22(6):788-9. doi: 10.1016/s0266-7681(97)80449-4.

Abstract

We report three cases of ulnar nerve deficit in children following closed fractures of the forearm bones. Significant anterior angulation and displacement of the ulna was noted in all patients. Two patients were operated on at a later stage when no evidence of recovery was demonstrated; the ulnar nerve was found to be embedded in dense scar tissue. One patient was operated on at the time of injury; entrapment of the nerve on the anterior spike and partial transection was found. Early exploration is indicated in such cases and may result in full recovery.

摘要

我们报告了3例儿童前臂骨闭合性骨折后尺神经缺损的病例。所有患者均发现尺骨有明显的向前成角和移位。2例患者在后期未显示恢复迹象时接受了手术;发现尺神经嵌入致密瘢痕组织中。1例患者在受伤时接受了手术;发现神经在前侧骨尖处受压并部分横断。此类病例应尽早进行探查,可能会实现完全恢复。

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