外伤性/意外玻璃损伤导致的进行性坐骨神经损伤和骨化性骨膜炎1例报告。

IF 1 Q3 MEDICINE, GENERAL & INTERNAL
Journal of Yeungnam medical science Pub Date : 2024-01-01 Epub Date: 2023-11-21 DOI:10.12701/jyms.2023.01018
Berkay Yalçınkaya, Hasan Ocak, Ahmet Furkan Çolak, Levent Özçakar
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引用次数: 0

摘要

周围神经受影响或损伤的原因有几个。周围神经损伤可由外伤、手术、解剖异常、夹闭、全身性疾病或医源性损伤引起。创伤和医源性损伤是最常见的原因。尺神经、正中神经和桡神经是上肢损伤最严重的神经,而坐骨神经和腓神经是下肢损伤最严重的神经。周围神经损伤的临床症状包括疼痛、无力、麻木/刺痛和感觉异常。因此,早期诊断和适当治疗周围神经损伤至关重要。如果周围神经损伤不及时治疗,可能会导致严重的并发症和显著的发病率。坐骨神经是受影响最严重的神经之一。该神经通常因外伤和医源性原因而受损。儿童比成年人更容易受到创伤。因此,在儿科患者中观察到坐骨神经损伤。当坐骨神经受损时,会出现疼痛、无力、感觉丧失和步态障碍。因此,对坐骨神经损伤的诊断和治疗是避免意外后果的重要手段。超声对周围神经损伤的诊断及患者的随访具有重要作用。本病例报告的目的是双重的。首先,我们的目的是强调超声评估在周围神经损伤和病理诊断中的关键作用。其次,我们的目的是提出这个病例,它具有显著的特征,如存在进行性骨化性骨膜炎伴坐骨神经损伤,由于外伤性玻璃损伤。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Sciatic neurotmesis and periostitis ossificans progressiva due to a traumatic/unexpected glass injury: a case report.

Peripheral nerves may be affected or injured for several reasons. Peripheral nerve damage can result from trauma, surgery, anatomical abnormalities, entrapment, systemic diseases, or iatrogenic injuries. Trauma and iatrogenic injuries are the most common causes. The ulnar, median, and radial nerves are the most injured nerves in the upper extremities, while the sciatic and peroneal nerves are the most injured nerves in the lower extremities. The clinical symptoms of peripheral nerve damage include pain, weakness, numbness/tingling, and paresthesia. Therefore, early diagnosis and appropriate treatment of peripheral nerve injuries are crucial. If a peripheral nerve injury is left untreated, it can lead to severe complications and significant morbidity. The sciatic nerve is one of the most affected nerves. This nerve is generally injured by trauma and iatrogenic causes. Children are more susceptible to trauma than adults. Therefore, sciatic nerve injuries are observed in pediatric patients. When the sciatic nerve is damaged, pain, weakness, sensory loss, and gait disturbances can occur. Therefore, the diagnosis and treatment of sciatic nerve injuries are important to avoid unexpected consequences. Ultrasound can play an important role in the diagnosis of peripheral nerve injury and the follow-up of patients. The aim of this case report is twofold. First, we aimed to emphasize the critical role of ultrasonographic evaluation in the diagnosis of peripheral nerve injuries and pathologies. Second, we aimed to present this case, which has distinguishing features, such as the existence of periostitis ossificans progressiva with sciatic neurotmesis due to a traumatic glass injury.

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