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Rehabilitation Practice and Science

Translated Title

摩托車車禍合併腋動脈剝離及臂神經叢病變：病例報告

Abstract

At present time, motorcycle accident can be found frequently. It not only can lead to abrasion, and fracture, thrombosis and nerve injury as well. This casereport presented with a 23 year-old male suffered from a motorcycle accident, with multiple abrasion wound over body. He was first sent to emergency room at LMD with x-ray taken and revealed no fracture. This patient presented with inability to raise his right arm, thus the doctor attributed the condition to his pain. After five hours at observation room, patient and his family found his right upper limb was cold and pulseless. The emergency angiography revealed thrombosis and dissected media intima over right axillary artery. The segmental resection and interposition of PTEE graft were performed by cardiovascular surgeon. Two weeks later, the EMG/NCS study revealed axillary, radial and ulnar nerve injury over right side. After aggressive rehabilitation for half a year the function of his right upper limb had much improvement. However definitive recovery of right axillary and ulnar nerve were not found, so he was transferred to department of cardiovascular surgery for surgical evaluation. This casereport reminded us that axillary artery thrombosis with brachial plexopathy is unusual. And contusion leads to even less axillary artery thrombosis with brachial plexopathy. Thus, clinicians must be aware with patients suffer from traffic accident presenting with limbs pain or weakness in avoiding any delay treatment or legal problems. For the disease of axillary artery thrombosis with brachial plexopathy, patients should received aggressive rehabilitation program to improve their dependency and ADL function.

Language

Traditional Chinese

First Page

181

Last Page

185

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