Rare Common Peroneal Nerve Neuropraxia after Removal of Upper Tibial Pin Traction.

IF 0.7 Q3 MEDICINE, GENERAL & INTERNAL
Dattatray Bhakare, Rahul Salunkhe, Urva Dholu, Aditya Sethi, Swati Bhakare
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引用次数: 0

Abstract

Abstract: Common peroneal nerve (CPN) injury is an uncommon complication associated with skeletal traction. Neurological deficits occurring after removal of upper tibial pin traction (UTPT) are exceedingly rare and sparsely reported in the literature. A 27-year-old male sustained a closed left subtrochanteric femur fracture following a road traffic accident. Preoperative UTPT was applied with no immediate neurological deficit. UTPT was removed intraoperatively before definitive fixation. Postoperatively, the patient developed left-sided foot drop. Electromyography and nerve conduction velocity studies at 6 weeks demonstrated neuropraxia of the CPN. Although UTPT is considered a safe and effective method for temporary fracture stabilization, clinicians should be aware of the potential for rare traction-related nerve injuries. Early recognition, appropriate splintage, and rehabilitation can result in favorable outcomes.

胫骨上钉牵引去除后少见的腓总神经失用症。
摘要:腓总神经(CPN)损伤是一种罕见的骨牵引并发症。胫骨上钉牵引(UTPT)去除后发生的神经功能缺损极为罕见,文献报道很少。一名27岁男性在一次道路交通事故中左侧股骨转子下闭合性骨折。术前应用UTPT无立即神经功能缺损。术中在最终固定前取出UTPT。术后患者出现左侧足下垂。6周时的肌电图和神经传导速度研究显示CPN有神经失用症。虽然UTPT被认为是一种安全有效的暂时骨折稳定方法,但临床医生应该意识到罕见牵拉相关神经损伤的可能性。早期识别,适当的夹板和康复可以获得良好的结果。
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来源期刊
Annals of African Medicine
Annals of African Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
0.90
自引率
0.00%
发文量
31
期刊介绍: The Annals of African Medicine is published by the Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria and the Annals of African Medicine Society. The Journal is intended to serve as a medium for the publication of research findings in the broad field of Medicine in Africa and other developing countries, and elsewhere which have relevance to Africa. It will serve as a source of information on the state of the art of Medicine in Africa, for continuing education for doctors in Africa and other developing countries, and also for the publication of meetings and conferences. The journal will publish articles I any field of Medicine and other fields which have relevance or implications for Medicine.
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