Evaluation of the late neurologic deficits accompanied by hypertrophic scars and keloids in children with elbow fractures
Küçük Resim Yok
Tarih
2001
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Lippincott Williams & Wilkins
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
In this study, the relation between hypertrophic scar and keloid (HSc) lesions around incisions and late neurologic deficits was investigated in operated elbow fractures in children. Six elbow fracture patients with HSc lesions were evaluated for neurologic deficits with late onset. The fractures were all closed and treated with open reduction and internal fixation. No neurologic deficit was detected before surgery and in the early postoperative periods. Late neurologic deficits observed in these patients were evaluated according to British Medical Research Committee scoring scale on admission and after therapy. In the reoperations for neurologic deficits, the nerve segments were found to be compressed in intensive scar tissue. Typical pseudoneuromas were observed in the proximal part of compression; however, the corporal integrity of the nerves was not interrupted. External neurolysis were performed in all patients. Excellent improvements in sensory and motor functions were detected and no recurrence occurred in followup. Elbow fracture patients, especially those with HSc lesions around their incisions, should be followed up for possible neurologic deficits with late onset.
Açıklama
Anahtar Kelimeler
Elbow Fractures, Hypertrophic Scars, Late Neurologic Deficits, Supracondylar Humerus Fractures, Complications
Kaynak
Journal Of Pediatric Orthopaedics
WoS Q Değeri
Q3
Scopus Q Değeri
Q1
Cilt
21
Sayı
5
