Tsujino A, Ochiai N
Institute of Clinical Medicine, The University of Tsukuba, 1-1-1 Tennoudai 305-8575, Japan.
Hand Surg. 2001 Dec;6(2):205-9. doi: 10.1142/s0218810401000722.
In this paper, we report on a new operation for ulnar neuropathy caused by friction at the elbow. The operation consists of ulnar groove plasty proximal to the cubital tunnel. The ulnar nerve is replaced into this reconstructed groove. Patients are relieved of discomfort, and motor and sensory functions are recovered. The nerve is kept stable throughout the full range of elbow motion and showed neither irritation nor adhesion. Friction ulnar neuropathy is traditionally treated by anterior transpositon or medial epicondylectomy. The ulnar nerve may become entrapped in scar tissue after these operations. We believe that this anatomical position is optimum for the nerve and that this procedure is essential for treatment of friction neuropathy.
在本文中，我们报告了一种针对肘部摩擦所致尺神经病变的新手术方法。该手术包括在肘管近端进行尺神经沟成形术。将尺神经置于这个重建的沟内。患者的不适得以缓解，运动和感觉功能得以恢复。在整个肘部运动范围内，神经保持稳定，未出现刺激或粘连情况。传统上，摩擦性尺神经病变采用前移位术或内上髁切除术进行治疗。这些手术后，尺神经可能会被瘢痕组织卡压。我们认为这个解剖位置对神经而言是最佳的，并且该手术方法对于摩擦性神经病变的治疗至关重要。
