在双骨前臂骨折固定后的长:基于病例和尸体的评估
Courtney R Carlson Strother1, Chelsea C Boe1, Nicholas Pulos1
1Mayo Clinic, Rochester, MN, USA.
Hand (New York, N.Y.)
|August 23, 2025
概括
软骨长 (FPL) 是双骨前臂骨折 (BBFF) 的罕见并发症. 这种通常与中轴辐射骨折有关, 随着观察而消失,
科学领域:
- 骨科手术
- 神经科学
- 人体解剖学
背景情况:
- 软骨长 (FPL) 是双骨前臂骨折 (BBFF) 后的一个不常见的并发症.
- 了解与FPL相关的病因和解剖风险对于患者的治疗至关重要.
研究的目的:
- 研究急性BBFF患者的FPL的发生率和特征.
- 通过尸体解剖来评估前骨间神经 (AIN) 与半径的解剖关系.
主要方法:
- 经过手术治疗的29名急性BBFF患者的回顾性审查 (2005-2023年).
- 在已记录的FPL患者中分析损伤和手术因素.
- 对10个前臂的尸体剖析,以映射相对于侧面表骨的AIN分支模式.
主要成果:
- 五名患者 (17%) 在手术前 (n=2) 或手术后 (n=3) 呈现FPL.
- 所有受影响的患者均有中轴辐射骨折;所有均在平均33天内自发消失.
- 尸体解剖显示,FPL运动分支始终远离辐射头部,与侧面表形成的最小距离.
结论:
- 在BBFF后的FPL可能发生在受伤或手术后,主要是中轴辐射骨折,可能代表神经不良.
- 尸体数据表明FPL运动分支易受中至近半径骨折碎片或手术操作的伤害.
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