Peripheral nerve injuries: A retrospective survey of 456 cases

Peripheral nerve injuries: A retrospective survey of 456 cases
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DOI:
10.1002/mus.20624
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发表时间:
2006-12-01
期刊:
影响因子:
3.4
通讯作者:
Kouyoumdjian, Joao Aris
Kouyoumdjian, Joao Aris
中科院分区:
医学3区
文献类型:
--
作者:
Kouyoumdjian, Joao Aris

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这项16年的回顾性研究报告了1989年至2004年期间456例连续患者的557例周围神经损伤(PNI)的数据。大多数患者为男性(74%),平均年龄为32.4岁。在83%的病例中,PNI是孤立性的;联合病变最常累及尺神经和正中神经。上肢PNI发生在73.5%的情况下,尺神经最常受伤,无论是单一或组合。车祸影响臂丛神经或桡神经、坐骨神经、面神经和腓神经是最常见的损伤原因。穿透性创伤通常影响尺神经和正中神经;福尔斯和枪伤经常影响尺神经、桡神经和正中神经;运动损伤,特别是足球,主要影响腓神经和胫神经。车祸后超过一半的臂丛神经损伤来自摩托车碰撞。
This 16-year retrospective study reports the data on 456 consecutive patients with 557 peripheral nerve injuries (PNIs) between 1989 and 2004. Most patients were men (74%) and the mean age was 32.4 years. In 83% of cases the PNIs were isolated; combined lesions most commonly involved the ulnar and median nerves. Upper-limb PNIs occurred in 73.5% of cases; the ulnar nerve was most often injured, either singly or in combination. Vehicle accidents affecting the brachial plexus or radial, sciatic, facial, and peroneal nerves were the most common cause of injury. Penetrating trauma commonly affected the ulnar and median nerves; falls and gunshot wounds frequently affected the ulnar, radial, and median nerves; and sports injuries, particularly soccer, affected mainly the peroneal and tibial nerves. More than half of the brachial plexus lesions after vehicular accidents were from motorcycle crashes.