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锁骨骨折导致周围神经损伤的研究进展
Research progress on peripheral nerve injury caused by clavicle fracture
投稿时间:2024-04-03  
DOI:10.3969/j.issn.1672-5972.2025.03.014
中文关键词:  锁骨骨折  周围神经损伤  锁骨上神经  臂丛神经  肩胛上神经
英文关键词:Fracture of clavicle  Peripheral nerve injury  Supraclavicular nerve  Brachial plexus  Suprascapular nerve
基金项目:
作者单位邮编
陈林* 中国药科大学附属浦口中医院骨科江苏 南京211000 211000
孙致远* 中国药科大学附属浦口中医院骨科江苏 南京211000 211000
韩朝永 中国药科大学附属浦口中医院骨科江苏 南京211000 211000
杨德顺 中国药科大学附属浦口中医院骨科江苏 南京211000 211000
姜锐 中国药科大学附属浦口中医院骨科江苏 南京211000 211000
沈康 中国药科大学附属浦口中医院骨科江苏 南京211000 211000
陈赛龙 中国药科大学附属浦口中医院骨科江苏 南京211000 211000
索伟 中国药科大学附属浦口中医院骨科江苏 南京211000 211000
王川平 中国药科大学附属浦口中医院骨科江苏 南京211000 211000
摘要点击次数: 13
全文下载次数: 5
中文摘要:
      锁骨骨折是临床常见的骨折之一,治疗方式主要为保守治疗和手术治疗。但因保守治疗存在骨折不愈合、遗留疼痛、肩部功能恢复较差等问题,目前手术治疗成为主流。近年来,锁骨骨折及其术后并发症(尤其是并发周围神经损伤)开始受到学者关注。锁骨周围神经主要有锁骨上神经、臂丛神经、肩胛上神经等,骨折激惹及手术中造成的神经损伤会导致患者锁骨中远端及肩区皮肤麻木、肩关节活动受限;上肢肌肉萎缩、手外观畸形等。神经损伤的症状不会立刻发生,而是在治疗后的长期随访中逐渐表现出来,其隐蔽性给治疗增添了难度。本研究总结了国内外锁骨骨折后并发神经损伤的案例及治疗方法,为改进锁骨骨折治疗术式、预防神经损伤提供了新的思路。
英文摘要:
      Clavicle fracture is one of the most common fractures in the clinic, and the main treatment methods are conservative treatment and surgery. Conservative treatment has problems such as fracture non-union, residual pain, shoulder function recovery and crossing, and surgical treatment has become the leading role. In recent years, clavicle fracture and its postoperative complications, especially peripheral nerve injury, have attracted more and more attention. The supraclavicular nerve, brachial plexus and suprascapular nerve are the main nerves around the clavicle. Fracture irritation and nerve damage during surgery can lead to numbness of the middle and distal clavicle and shoulder skin, lrestriction of shoulder joint movement, upper limb muscle atrophy, deformity of hand appearance, and so on The symptoms of nerve injury do not occur immediately, but gradually appear in the long-term follow-up after treatment, and its concealment makes the treatment more difficult. This study summarized the cases and treatment methods of concomitant nerve injury after clavicle fractures at home and abroad, and provided new ideas for improving the treatment of clavicle fractures and preventing nerve injury.
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