儿科双骨骨折导致中枢神经陷:一个案例报告
Joshua Lyndon Dale1, Frank Gerold2
1Department of General Surgery, University of Mississippi Medical Center, Jackson, Mississippi, United States.
Journal of orthopaedic case reports
|January 16, 2026
概括
儿科双骨前臂骨折很少会导致中枢神经被困,即使在成功减少后也是如此. 早期的手术减压对于预防长期神经损伤和确保功能恢复至关重要.
科学领域:
- 儿科整形外科 儿科整形外科
- 神经学 神经学
- 外科手术案例研究
背景情况:
- 双骨前臂骨折在儿童中很常见,通常是跌倒造成的.
- 神经陷,特别是中枢神经陷,是骨折管理后的罕见但严重的并发症,特别是在闭合缩小后.
研究的目的:
- 报告一个中枢神经被困延迟的病例,其次是儿科双骨前臂骨折.
- 强调在儿科骨折中识别和手术治疗神经陷的重要性,以防止永久性缺陷.
主要方法:
- 一个13岁男孩的病例报告,他的前臂骨头骨折,得到了封闭的减少和造.
- 诊断工作包括肌电图和神经传导研究.
- 手术涉及中枢神经神经分解和手掌道释放.
主要成果:
- 患者出现中枢神经功能障碍的延迟症状 (麻木,刺,缩神经),尽管骨折平衡令人满意.
- 手术探索显示,中枢神经被困在密集的痕组织中.
- 手术后的神经溶解和手掌道释放导致8个月内完全的运动和感官恢复.
结论:
- 延迟中枢神经被困可能发生在儿童前臂骨折中,由于周骨痕,即使有良好的放射性对齐.
- 怀疑的高指数和及时的手术干预对于疑似神经陷病例的最佳结果至关重要.
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