侧上肢创伤伤:我们应该期待什么?
João Q Costa1, Maria J Leite1, Miguel Relvas1
1São João University Hospital, Porto, Portugal.
The journal of hand surgery Asian-Pacific volume
|September 27, 2023
概括
上肢侧损伤,特别是神经损伤 (UNL),往往导致显著的功能缺陷和后果. 由于经常出现神经血管和肌损伤,建议进行外科探索.
科学领域:
- 整形外科 整形外科 整形外科
- 创伤学 创伤学 创伤学
- 神经外科 神经外科
背景情况:
- 上肢创伤损伤显著影响日常生活.
- 对侧前臂,手腕和手部受伤的研究是有限的.
- 这项研究解决了关于这些特定伤害的研究不足的问题.
研究的目的:
- 对于影响前臂,手腕和手的侧损伤的特征.
- 评估手术治疗的临床,神经和功能结果.
- 确定影响患者结果的因素.
主要方法:
- 这是一项回顾性单盲研究 (2006-2016年).
- 包括患有需要手术的部侧深度创伤伤的患者.
- 评估样本特征,并发性损伤和临床结果,包括神经学和功能评估.
主要成果:
- 分析了61名患者;69%的手腕受伤,90%的神经病变 (主要是部神经病变 - UNL).
- 常见的并发性损伤:腰椎骨 (64%),骨折 (13%),腰椎动脉病变 (39%).
- 在8.6年的随访期间,34%的患者没有出现缺陷;UNL患者的功能评分更差,后果风险更高. 感官缺陷也与较差的结果相关.
结论:
- 神经病变 (UNL) 显著损害了手的功能,特别是第一光线.
- 运动和感觉缺陷都会对功能结果产生负面影响.
- 由于神经血管和肌病变的高发病率,建议对侧上肢伤口进行手术探索.
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