Ulnar Nerve Palsy Following Fracture of the Distal Radius in an Adolescent: A Case Report

青少年之遠端橈骨骨折伴隨尺神經損傷－個案報告

盧政昌(Cheng-Chang Lu) ； 卓進益(Chin-Yi Chuo) ； 陳勝凱(Shen-Kai Chen) ； 黃裕涵(Yu-Han Huang) ； 周伯禧(Pei-Hsi Chou)

《The Kaohsiung Journal of Medical Sciences》 23卷3期 (2007/03) Pp. 151-155

摘要

神經血管的受傷，特別是尺神經的受損，在青少年的遠端橈骨骨折中是很少伴隨發生的。我們報告一名十四歲的男孩發生右腕的遠端橈骨骨折，同時有同側尺神經受損之症狀出現。我們立刻施行閉鎖性骨折復位及經皮骨釘合併石膏固定遠端橈骨骨折。我們決定採取觀察尺神經功能的復原，不採取緊急的神經探查術。病人在受傷後的第八週骨折癒合，在第十六週尺神經功能完全恢復。在處理遠端橈骨骨折時仍要考慮發生尺神經損傷之可能性。即使如此，我們仍建議觀察尺神經功能的復原並不需要採取緊急的神經探查術。

關鍵字

青少年 ； 遠端橈骨骨折 ； 尺神經受損

並列摘要

In adolescents, neurovascular injury, especially ulnar nerve injury, is rare with fracture of the distal radius. We present a 14-year-old boy who sustained fracture of the distal radius in his right wrist, who also had symptoms of ulnar nerve injury. Close reduction with percutaneous pinning and cast to fix the distal radius fracture was done immediately. Then, we decided to observe the recovery of the nerve injury without providing any emergent nerve exploration. Bone union was achieved after 8 weeks of fixation, and the function of the ulnar nerve was restored completely after 16 weeks of observation. The possibility of ulnar nerve injury should be considered following fracture of the distal aspect of the radius, and we recommend observing the recovery of nerve injury, with no need for emergent nerve exploration.

並列關鍵字

adolescent ； fracture of distal radius ； ulnar nerve injury