通过远端神经转移恢复克伦普克氏出生麻痹患者的手指屈伸功能：病例报告

Q4 Medicine JBJS case connector Pub Date : 2024-11-11 eCollection Date: 2024-10-01 DOI:10.2106/JBJS.CC.24.00368

Harvey Chim

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引用次数: 0

摘要

病例：臂丛神经出生损伤（BPBI）的传统手术治疗方法是近端神经移植。一名患有克伦普克氏出生麻痹症的婴儿在 6 个月大时手指屈伸功能仍未恢复。他接受了腕伸肌至骨间前神经和上举肌至骨间后神经的移植手术。术后三个月，他的手指屈伸功能得到恢复，并在术后 18 个月的随访中持续改善：本病例表明，与传统的近端神经移植术相比，使用远端神经移植术进行早期手术干预对 BPBI 手部复位非常有效。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Distal Nerve Transfers for Restoration of Finger Flexion and Extension in Klumpke Birth Palsy: A Case Report.

Case: Traditional surgical intervention for brachial plexus birth injury (BPBI) has involved proximal nerve grafting. At the age of 6 months, an infant with Klumpke birth palsy had not recovered finger flexion and extension. He underwent extensor carpi radialis brevis to anterior interosseous nerve and supinator-to-posterior interosseous nerve transfers. Three months postoperatively, he was noted to have recovery of finger flexion and extension which continued to improve to 18 months postoperative follow-up.

Conclusion: This case shows effectiveness of early surgical intervention using distal nerve transfers, as opposed to traditional proximal nerve grafting, for reanimating the hand in BPBI.

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来源期刊

JBJS case connector Medicine-Medicine (all)

CiteScore

0.60

自引率

0.00%

发文量

319

期刊介绍： JBJS Case Connector helps improve patient care by providing the medical community with a journal that harnesses technology to provide information tools for discovery and reporting of unusual musculoskeletal problems, findings, treatment, and outcomes. Co-edited by Thomas W. Bauer, MD, PhD, and Ronald W. Lindsey, MD, JBJS Case Connector assists orthopaedic surgeons in the search for precedents, connections, and trends in their efforts to improve patient care. Using this unique journal, surgeons can find the commonalities between cases, benefit from the experience of their peers, and filter case information by many important variables in order to provide the best possible care for orthopaedic patients. This cross-referenced online journal includes thousands of orthopaedic case reports. It compiles symptoms, conditions, and demographic details to empower surgeons to find cases similar to theirs. Surgeons can mine the database to reveal emerging trends and identify patterns, distinguishing between truly rare cases and repeated, related single instances of a larger problem. The JBJS Case Connector Image Quiz feature provides interactive quizzes based on images from content published by JBJS and includes a discussion area for further exploration of ideas and concepts. The JBJS Image Quiz app for iPad and iPhone is available in the App Store. Contributions to JBJS Case Connector are welcomed from anywhere in the world and are considered on their merits. Articles must be written in English and should be submitted as outlined in the Instructions to Authors. All authors must abide by the JBJS ethics policies and all submissions to JBJS Case Connector are covered by the JBJS embargo policy.