在距离半径骨折后的硬件拆除期间,中枢神经的移位
Hiroshi Ninomiya1, Makito Watanabe1
1Department of Orthopedic Surgery, Tachikawa General Hospital, Niigata, Japan.
Journal of wrist surgery
|September 25, 2025
概括
在去除远半径骨折硬件时,中间神经可能会在25%的病例中辐射移动. 外科医生应谨慎采取措施,以防止产生中枢神经的中枢神经损伤.
科学领域:
- 整形外科手术 整形外科手术
- 神经外科 神经外科
- 放射学 放射学是一门学科.
背景情况:
- 距离半径骨折是常见的损伤,用飞涂层治疗.
- 硬件移除是一种常见的二次程序.
- 曲器 carpi radialis (FCR) 方法经常用于硬件移除.
研究的目的:
- 为了评估中枢神经移位的发生率和模式,在远距离半径骨折的飞行贴后的硬件移除期间.
- 为了确定中枢神经位移的潜在风险因素.
主要方法:
- 在2016年至2021年期间进行的67例远端辐射飞行锁定板切除病例的回顾性审查.
- 硬件的移除是通过两名外科医生使用曲手臂半径 (FCR) 方法进行的.
- 在手术期间评估中枢神经与FCR相对的位置.
主要成果:
- 在67例 (25%) 的17例中,观察到FCR辐射侧的中枢神经位移.
- 在正常和移位中枢神经位置的病例之间,没有注意到骨折严重程度或外科医生的显著差异.
- 流离失所的程度没有量化,但它的存在被记录下来.
结论:
- 中间神经可以在远半径骨折的飞行接后的硬件移除过程中辐射移位.
- 谨慎的手术技术是必不可少的,以避免在此过程中中产神经受到阳性损伤.
- 进一步的研究可以研究方法,以最大限度地减少中枢神经的移位.
相关概念视频
Bones of the Upper Limb: Radius
4.5K
The radius is longer of the two bones that make up the human antebrachium or forearm. At the proximal end, the radius articulates with the capitulum of the humerus and the radial notch of the ulna to form the elbow joint. At the distal end, the radius articulates with the ulna via the ulnar notch, forming the distal radioulnar joint. Distally, the radius also attaches to the carpal wrist bones (scaphoid and lunate) to form the radiocarpal joint.
The radius has a nail-shaped head, and a...
The radius has a nail-shaped head, and a...
4.5K
Spinal Nerves: Plexus I
2.4K
Nerve plexuses are networks of interlacing nerves that serve as communication hubs to distribute and organize nerve action across various body regions. The nerve plexuses are organized into the cervical plexus located in the neck region, brachial plexus in the shoulder area, lumbar plexus found in the lower back, sacral plexus situated in the pelvis, and coccygeal plexus located in the coccygeal region.
The Cervical Plexus
The cervical plexus, formed by the anterior rami of the first four...
The Cervical Plexus
The cervical plexus, formed by the anterior rami of the first four...
2.4K
Bones of the Upper Limb: Ulna
4.2K
The ulna and radius are parallel bones of the antebrachium or the forearm. The ulna lies medially and consists of a bony tip called the olecranon process at its proximal end. This hook-like projection articulates with the olecranon fossa of the humerus and forms the "hinged" ulnohumeral part of the elbow joint. This joint facilitates forearm extension and flexion while preventing its hyperextension. Similarly, the coronoid process, another bony projection on the proximal/anterior side...
4.2K


