腕管释放后复发性运动分支损伤的延迟修复

Q3 Medicine
Anna L. Lundeen MD , Edward J. Wu MD
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引用次数: 0

摘要

医源性损伤正中神经运动支复发是腕管松解术后一种少见但严重的并发症。外科医生应该意识到这个分支的解剖变化,特别是随着小切口和内窥镜技术的出现。在这里,我们提出了一个60岁的女性,她的复发性运动分支损伤直到她的指数手术2年后才被发现。患者在初次受伤25个月后进行了一次成功的修复,术后2个月开始拇指功能、力量和大足底肌肉块恢复明显改善,并持续到7个月的最后一次随访。本例患者的结果表明,在初次损伤2年后,修复断裂的复发运动分支仍然是一种可行的选择,即使在相当长的时间过去后,功能改善和大鱼际肌神经再生也可以发生。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Delayed Repair of Recurrent Motor Branch Injury after Carpal Tunnel Release
Iatrogenic injury to the recurrent motor branch of the median nerve is an uncommon but severe complication following carpal tunnel release. Surgeons should be aware of the anatomical variations of this branch, particularly with the advent of smaller incisions and endoscopic techniques. Here, we present the case of a 60-year-old woman whose recurrent motor branch injury was not identified until 2 years following her index procedure. She underwent a successful primary repair 25 months after her initial injury, with notable improvements in thumb function, strength, and return of thenar muscle bulk beginning 2 months after surgery and continuing through last follow-up at 7 months. Our patient’s outcome suggests that repair of a severed recurrent motor branch remains a viable option 2 years after initial injury and that functional improvement and thenar muscle reinnervation can occur even after considerable time has elapsed.
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来源期刊
CiteScore
1.10
自引率
0.00%
发文量
111
审稿时长
12 weeks
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