Treatment of Intercostal Neuralgia Following Cough-induced Rib Fractures With Targeted Muscle Reinnervation.

IF 1.5 Q3 SURGERY
Plastic and Reconstructive Surgery Global Open Pub Date : 2025-06-04 eCollection Date: 2025-06-01 DOI:10.1097/GOX.0000000000006839
Madi El Haj, Muhannad Abu Arafeh, Yechiel N Gellman, Sofia A Vorobeitchik, Yusef Azraq, Shaul Beyth
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引用次数: 0

Abstract

Intercostal neuralgia is a rare yet debilitating condition that can be caused by thoracotomy, herpes zoster infection, or traumatic rib fractures. This case report describes a 48-year-old woman who developed persistent intercostal neuralgia after sustaining bilateral multiple rib fractures from a violent coughing episode. Initial surgical decompression and subsequent neurectomy of the affected intercostal nerve temporarily alleviated her symptoms. A third surgical intervention involving targeted muscle reinnervation with intercostal to thoracodorsal nerve transfer provided long-lasting pain relief. This case highlights the importance of considering nerve entrapment as a cause of posttraumatic intercostal neuralgia and suggests the targeted muscle reinnervation as a reliable procedure for obtaining persistent pain relief.

针对性肌肉神经移植治疗咳嗽性肋骨骨折后肋间神经痛。
肋间神经痛是一种罕见但使人衰弱的疾病,可由开胸手术、带状疱疹感染或创伤性肋骨骨折引起。本病例报告描述了一名48岁的女性,她在剧烈咳嗽发作后持续双侧多根肋骨骨折后发展为持续性肋间神经痛。最初的手术减压和随后的肋间神经切除暂时缓解了她的症状。第三种手术干预包括定向肌肉神经移植和肋间到胸背神经转移,提供了持久的疼痛缓解。本病例强调了将神经卡压作为创伤后肋间神经痛的原因的重要性,并建议定向肌肉神经再支配是获得持久疼痛缓解的可靠方法。
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来源期刊
CiteScore
2.20
自引率
13.30%
发文量
1584
审稿时长
10 weeks
期刊介绍: Plastic and Reconstructive Surgery—Global Open is an open access, peer reviewed, international journal focusing on global plastic and reconstructive surgery.Plastic and Reconstructive Surgery—Global Open publishes on all areas of plastic and reconstructive surgery, including basic science/experimental studies pertinent to the field and also clinical articles on such topics as: breast reconstruction, head and neck surgery, pediatric and craniofacial surgery, hand and microsurgery, wound healing, and cosmetic and aesthetic surgery. Clinical studies, experimental articles, ideas and innovations, and techniques and case reports are all welcome article types. Manuscript submission is open to all surgeons, researchers, and other health care providers world-wide who wish to communicate their research results on topics related to plastic and reconstructive surgery. Furthermore, Plastic and Reconstructive Surgery—Global Open, a complimentary journal to Plastic and Reconstructive Surgery, provides an open access venue for the publication of those research studies sponsored by private and public funding agencies that require open access publication of study results. Its mission is to disseminate high quality, peer reviewed research in plastic and reconstructive surgery to the widest possible global audience, through an open access platform. As an open access journal, Plastic and Reconstructive Surgery—Global Open offers its content for free to any viewer. Authors of articles retain their copyright to the materials published. Additionally, Plastic and Reconstructive Surgery—Global Open provides rapid review and publication of accepted papers.
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