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후방 골간 신경 마비의 치료

Other Titles
 Treatment of Posterior Interosseous Nerve Palsy 
Authors
 한수봉  ;  최윤락  ;  강호정  ;  조재호 
Citation
 Journal of the Korean Orthopaedic Association (대한정형외과학회지), Vol.39(2) : 198-202, 2004 
Journal Title
 Journal of the Korean Orthopaedic Association (대한정형외과학회지) 
ISSN
 1226-2102 
Issue Date
2004
Keywords
근위 요골 골절 ; 후방 골간 신경 손상 ; Proximal radius fracture ; Posterior interosseous nerve
Abstract
Purpose: To evaluate the clinical features, results, and prognosis of posterior interosseous nerve injury related to fracture or dislocation of the proximal radius. Materials and Methods: From patients with posterior interosseous nerve injury between January, 1985 to December 2002, fourteen patients were selected. There were 2 cases with fracture of the proximal radius alone, 6 cases with fracture of both bones of the forearm, 5 cases with Monteggia fracture, and 1 case of radius head fracture. Eight cases showed nerve injury at the time of trauma, 3 cases after open reduction, and 3 cases after hardware removal. The involved nerve was explored in patients without spontaneous recovery for further treatment. Final range of motion, motor function, and satisfaction were used to assess the results. Results: Seven cases, all with closed fracture, showed spontaneous recovery. The average time of recovery was 6.2 weeks. The remaining 7 cases were treated by neurorraphy (1 case), neurolysis (1 case), sural nerve graft (2 cases), and tendon transfer (3 cases). All cases showed satisfactory results. Conclusion: Traumatic posterior interosseous nerve injury rarely happens. Injury after closed fracture usually shows spontaneous recovery. Injury can also take place during open reduction or hardware removal. In cases without spontaneous recovery, The prognosis is generally good after proper treatment.
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiation Oncology (방사선종양학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Ho Jung(강호정) ORCID logo https://orcid.org/0000-0003-0273-1264
Cho, Jae Ho(조재호) ORCID logo https://orcid.org/0000-0001-9966-5157
Hahn, Soo Bong(한수봉)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/112429
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