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前臂筋膜松解术后掌长肌腱径向插入致正中神经受压:腕管松解术的一种并发症

Median nerve compression by a radially inserted palmaris longus tendon after release of the antebrachial fascia: A complication of carpal tunnel release.

作者信息

Nakamichi K, Tachibana S

机构信息

Department of Orthopaedic Surgery, Toranomon Hospital, Tokyo, Japan.

出版信息

J Hand Surg Am. 2000 Sep;25(5):955-8. doi: 10.1053/jhsu.2000.0955.

DOI:10.1053/jhsu.2000.0955
PMID:11040312
Abstract

We describe a case that had recurrent median nerve compression after release of the antebrachial fascia in carpal tunnel release. The nerve was compressed by a palmaris longus tendon that was inserted radially into the thenar fascia. After decompression (detachment of the tendon) the patient had symptom relief. Release of the antebrachial fascia in the presence of this tendon variant carries a risk of median nerve compression by the tendon.

摘要

我们描述了一例在腕管松解术中前臂筋膜松解后出现正中神经反复受压的病例。神经被一条桡侧插入鱼际筋膜的掌长肌腱压迫。减压(肌腱离断)后患者症状缓解。在存在这种肌腱变异的情况下松解前臂筋膜存在肌腱压迫正中神经的风险。

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