Abstract：
OBJECTIVE: The objective of this study was to determine the incidence, necessity for neurosurgical intervention, and overall results of the treatment of pediatric peripheral nerve injuries associated with dislocated supracondylar fractures of the distal humerus.
METHODS: A retrospective analysis of pediatric patients with supracondylar fractures treated from April 2019 to April 2022 with a minimum follow-up of 3 months was conducted.
RESULTS: Of 453 included patients, there were 51 recorded peripheral nerve injuries. The ulnar nerve was the most frequently injured nerve. Nine patients required neurosurgical intervention, with the most common procedure being the release of entrapped nerves. The combination of a supracondylar fracture and arterial injury was identified as a significant risk factor for peripheral nerve injury (p < 0.001). Only one patient experienced an unsatisfactory outcome.
CONCLUSIONS: Although the prognosis for peripheral nerve injuries in children with supracondylar fractures is generally favorable, these injuries must be properly identified. We recommend an active neurosurgical approach in children with persisting neurological deficits to minimize the risk of permanent neurological impairment.
METHODS: A retrospective analysis of pediatric patients with supracondylar fractures treated from April 2019 to April 2022 with a minimum follow-up of 3 months was conducted.
RESULTS: Of 453 included patients, there were 51 recorded peripheral nerve injuries. The ulnar nerve was the most frequently injured nerve. Nine patients required neurosurgical intervention, with the most common procedure being the release of entrapped nerves. The combination of a supracondylar fracture and arterial injury was identified as a significant risk factor for peripheral nerve injury (p < 0.001). Only one patient experienced an unsatisfactory outcome.
CONCLUSIONS: Although the prognosis for peripheral nerve injuries in children with supracondylar fractures is generally favorable, these injuries must be properly identified. We recommend an active neurosurgical approach in children with persisting neurological deficits to minimize the risk of permanent neurological impairment.
摘要：
目的：本研究的目的是确定发病率，神经外科介入的必要性，与肱骨远端髁上骨折脱位相关的小儿周围神经损伤治疗的总体结果。
方法：回顾性分析2019年4月至2022年4月收治的髁上骨折患儿，最少随访3个月。
结果：在453名患者中，有51例记录了周围神经损伤。尺神经是最常损伤的神经。九名患者需要神经外科手术，最常见的手术是释放被困的神经。髁上骨折和动脉损伤的组合被认为是周围神经损伤的重要危险因素(p<0.001)。只有一名患者经历了不满意的结果。
结论：尽管儿童髁上骨折周围神经损伤的预后一般良好，必须正确识别这些伤害。我们建议对患有持续性神经功能缺损的儿童采取积极的神经外科手术方法，以最大程度地减少永久性神经功能缺损的风险。
方法：回顾性分析2019年4月至2022年4月收治的髁上骨折患儿，最少随访3个月。
结果：在453名患者中，有51例记录了周围神经损伤。尺神经是最常损伤的神经。九名患者需要神经外科手术，最常见的手术是释放被困的神经。髁上骨折和动脉损伤的组合被认为是周围神经损伤的重要危险因素(p<0.001)。只有一名患者经历了不满意的结果。
结论：尽管儿童髁上骨折周围神经损伤的预后一般良好，必须正确识别这些伤害。我们建议对患有持续性神经功能缺损的儿童采取积极的神经外科手术方法，以最大程度地减少永久性神经功能缺损的风险。
