NERVE LESIONS IN PRIMARY SHOULDER DISLOCATIONS AND HUMERAL NECK FRACTURES - A PROSPECTIVE CLINICAL AND EMG STUDY

被引:113
作者
DELAAT, EAT [1 ]
VISSER, CPJ [1 ]
COENE, LNJEM [1 ]
PAHLPLATZ, PVM [1 ]
TAVY, DLJ [1 ]
机构
[1] LEYENBURG HOSP,2545 CH THE HAGUE,NETHERLANDS
来源
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME | 1994年 / 76B卷 / 03期
关键词
D O I
10.1302/0301-620X.76B3.8175837
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The incidence of nerve injuries in primary shoulder dislocation and humeral neck fracture is uncertain. We made a prospective study of 101 patients, using clinical examination and extensive electrophysiological assessment when there was suspicion of nerve damage. We found electrophysiological evidence of nerve injury in 45%, most involving the axillary, suprascapular, radial and musculocutaneous nerves. There were significantly more nerve injuries in older patients and those with a haematoma. Most patients recovered partially or completely in less than four months, and only eight had persistent motor loss. Early diagnosis and physiotherapy are recommended.
引用
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页码:381 / 383
页数:3
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