儿童肱骨髁上骨折的罕见并发症肘关节和腕关节的肌阵挛性运动

Juha-Jaakko Sinikumpu, N. Salokorpi, H. Rantala, W. Serlo
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引用次数: 2

摘要

肱骨髁上骨折与神经系统并发症有关。本报告描述了一个儿童谁遭受持续的肌阵挛样运动的肘部和腕部,由于以前的移位性骨折。症状是进行性的。7年后,尺神经分布感觉下降。触诊尺神经加重了肌阵挛性抽搐。随着症状的发展,神经肌电图出现异常。肘管松解和尺神经前移位是达到完全恢复所必需的。长期疗效良好。总之,肌阵挛样运动是肱骨髁上骨折罕见的并发症,由尺神经损伤引起。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Myoclonic movements of the elbow and wrist as a rare complication of supracondylar humerus fracture in a child
Supracondylar humerus fractures are associated with neurological complications. This report describes a child who suffered from persistent myoclonus-like movements of the elbow and wrist as a consequence of a previous displaced fracture. Symptoms were progressive. Seven years later, sensation was decreased in the ulnar nerve distribution. Palpation of the ulnar nerve exacerbated the myoclonic jerks. As symptoms progressed, electoneuromyography became abnormal. Cubital tunnel release and anterior transposition of the ulnar nerve were required to reach full recovery. Long-term outcome was excellent. In conclusion, myoclonus-like movements are a rare complication of supracondylar humerus fractures, resulting from ulnar nerve injury.
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