Evaluation of the Late Neurologic Deficits Acaompanied by Hyperrrophic scars and Keloids in Children with Elbow Fractures
J Pediatr Orthop, cilt.21, sa.5, ss.577-579, 2001 (Hakemli Dergi)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 21 Sayı: 5
- Basım Tarihi: 2001
- Dergi Adı: J Pediatr Orthop
- Sayfa Sayıları: ss.577-579
- Kütahya Sağlık Bilimleri Üniversitesi Adresli: Hayır
Özet
In this stucly. the relation betu'e'e'n hypertrophic
scar and keioid (HSc) lesions around incisions and late neurotogic defıcits was inve.stigated in operated elbow fractures in
children. Six elbow fracture patients witlı HSc lesions were
evaluated for neurologic deficits with late onset. Tiıe Iractures
were. all ciosecl and treatecl u,ith open reduction and inte'rnal
fixation. No neurologic cleficit was dete.ctecl before surgery and
in the early postope.rative pe.nods. Late neurologic deİlcits observed in these patients were evaluated according to British
Medical Re.searclı Coınnıittee scoring scale on admission and
after therapl,. In the reoperations for neurologic deficits. the
nerve. segments were found to be compressed in inte,nsive SCar
tissue. Typical pseudoneuromas were observed in the proxinıal
part of compression: however, the corporal integrity of the
nerves wa_ç not internıptecl. External neurolysis were performed
in all patients. Excellent improvements in sensory and nıotor
functions were detected and no recurrence occurred in followup. Elbou, fracture. patients, especially those witlı HSc lesions
around their incisions. should be followed up for possibie neurologic deficits with late onset. Ke1' Words: Elbow fracturesHypeffo