[Nerve lesions following injuries of the upper limbs in childhood (author's transl)].
A total of 93 cases of nerve lesions in the limbs in children is reported. After blunt trauma (n = 53), there was most often damage to the ulnar nerve (n = 28), especially in the area of the elbow joint, followed by the radial nerve (n = 14) and the median nerve (n = 11). Causes were primary pressure and scar compression following fractures of the elbow and forearm, where ventral re-siting and/or neurolysis were necessary in serious denervation processes. Among the cutting injuries (n = 40), the lesions in the area of the underside of the wrist severing the ulnar and median nerves, more rarely the radial nerve, are particularly mentioned. They have a good prognosis following microsurgery. Independent of their localisation, the following have a poor prognosis: all crushing injuries, multiple injuries, multilation lesions and non-visible stretching and tearing in the area of the plexus.
D001132:Arm / Q000294:innervation; D001134:Arm Injuries / Q000601:surgery*; D002648:Child; D050723:Fractures, Bone / Q000150:complications; D006225:Hand / Q000294:innervation*; D006230:Hand Injuries / Q000601:surgery*; D006801:Humans; D008475:Median Nerve / Q000293:injuries; D009408:Nerve Compression Syndromes / Q000601:surgery; D009416:Nerve Regeneration; D059348:Peripheral Nerve Injuries; D011826:Radial Nerve / Q000293:injuries; D014459:Ulnar Nerve / Q000293:injuries; D000092464:Elbow Injuries
Nervenläsionen nach Verletzungen oberer Extremitäten im Kindesalter.