Peripheral nerve injuries associated with dislocated supracondylar fractures of distal humerus in children: incidence and need of surgical treatment.

IF 1.3 4区 医学 Q4 CLINICAL NEUROLOGY
Child's Nervous System Pub Date : 2024-11-01 Epub Date: 2024-06-18 DOI:10.1007/s00381-024-06497-3
Robert Chrenko, Martin Hanko, Marek Grega, Ľubomír Sýkora, René Jáger
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Abstract

Purpose: The objective of this study was to determine the incidence, necessity for neurosurgical intervention, and overall results of the treatment of pediatric peripheral nerve injuries associated with dislocated supracondylar fractures of the distal humerus.

Method: A retrospective analysis of pediatric patients with supracondylar fractures treated from April 2019 to April 2022 with a minimum follow-up of 3 months was conducted.

Results: Of 453 included patients, there were 51 recorded peripheral nerve injuries. The ulnar nerve was the most frequently injured nerve. Nine patients required neurosurgical intervention, with the most common procedure being the release of entrapped nerves. The combination of a supracondylar fracture and arterial injury was identified as a significant risk factor for peripheral nerve injury (p < 0.001). Only one patient experienced an unsatisfactory outcome.

Conclusion: Although the prognosis for peripheral nerve injuries in children with supracondylar fractures is generally favorable, these injuries must be properly identified. We recommend an active neurosurgical approach in children with persisting neurological deficits to minimize the risk of permanent neurological impairment.

Abstract Image

与儿童肱骨远端髁上骨折脱位相关的周围神经损伤:发生率和手术治疗的必要性。
目的:本研究旨在确定与肱骨远端髁上骨折脱位相关的小儿周围神经损伤的发生率、神经外科干预的必要性以及治疗的总体效果:对2019年4月至2022年4月期间接受治疗且随访至少3个月的肱骨髁上骨折儿科患者进行回顾性分析:在纳入的453例患者中,有51例记录到周围神经损伤。尺神经是最常见的损伤神经。九名患者需要接受神经外科干预,最常见的手术是松解卡压的神经。肱骨髁上骨折和动脉损伤被认为是导致周围神经损伤的重要风险因素(P 结论):尽管肱骨髁上骨折患儿周围神经损伤的预后一般较好,但必须正确识别这些损伤。我们建议对持续存在神经功能缺损的儿童采取积极的神经外科治疗方法,以最大限度地降低永久性神经功能损伤的风险。
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来源期刊
Child's Nervous System
Child's Nervous System 医学-临床神经学
CiteScore
3.00
自引率
7.10%
发文量
322
审稿时长
3 months
期刊介绍: The journal has been expanded to encompass all aspects of pediatric neurosciences concerning the developmental and acquired abnormalities of the nervous system and its coverings, functional disorders, epilepsy, spasticity, basic and clinical neuro-oncology, rehabilitation and trauma. Global pediatric neurosurgery is an additional field of interest that will be considered for publication in the journal.
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