臂神经复杂性 开放后缩小和内部固定左骨折的左骨折
Turki Alshehri1, Mohammed Abdulhadi Alhassan2, Ali Ahmed Muharraq2
1Department of Trauma and Orthopedic Surgery, Armed Forces Hospital Southern Region, Khamis Mushait, Saudi Arabia.
Journal of orthopaedic case reports
|May 12, 2025
概括
本案例研究报告了一例罕见的手臂神经不良症,该病例发生在骨骨折手术后. 早期诊断和保守的管理导致受影响四肢的感觉和运动功能完全恢复.
科学领域:
- 整形外科手术 整形外科手术
- 创伤外科 手术 创伤外科
- 神经学 神经学
背景情况:
- 骨骨折是由高能量创伤造成的.
- 修改后的Stoppa技术是一种常见的外科手术方法.
- 臂损伤是骨骨折手术的一种罕见并发症.
研究的目的:
- 报告一个手臂神经复杂症的病例,在acetabular骨折固定后.
- 突出这一罕见并发症的诊断和管理方面的考虑.
主要方法:
- 一名16岁的男性患有骨骨折,使用修改后的Stoppa方法进行了开放式减少和内部固定 (ORIF).
- 在术后,该患者出现了左上肢运动缺陷和感觉损失.
- 诊断为臂神经不良症,并开始保守的治疗.
主要成果:
- 患者在ORIF后的左上肢中经历了暂时的感觉和运动缺陷.
- 感觉在15分钟内恢复,而运动缺陷仍然存在.
- 经过6个月的时间,患者的感觉和运动能力完全恢复了 (5/5).
结论:
- 臂损伤是骨骨折手术的潜在并发症.
- 早期诊断和保守的管理对于有利的结果至关重要.
- 适当的患者定位和手术期间的监测可以帮助预防这种神经损伤.
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