Polatsch Daniel B, Bong Matthew R, Rokito Andrew S
Department of Orthopaedic Surgery, New York University/Hospital for Joint Diseases, New York, New York, USA.
Am J Orthop (Belle Mead NJ). 2002 Nov;31(11):643-6.
We report the case of an "overhead" athlete (a collegiate tennis player) who developed severe ulnar neuropathy after anterior subcutaneous transposition and placement of a fasciodermal sling. Treatment consisted of opening the sling, excising suture material, releasing all other areas of potential compression, and performing anterior submuscular transposition of the ulnar nerve deep to the flexor muscle group. Two years after surgery, subjective symptoms were significantly improved, though the patient continued to experience mild medial-side elbow discomfort and intermittent paresthesia along the ulnar nerve distribution. Pain relief achieved without full sensory and motor recovery is consistent with results reported elsewhere. In short, extreme care must be taken when creating a fasciodermal sling during anterior subcutaneous transposition of the ulnar nerve.
我们报告了一例“过头运动”运动员（一名大学网球运动员）的病例，该运动员在进行皮下前置和放置筋膜皮吊带后出现了严重的尺神经病变。治疗方法包括打开吊带、切除缝合材料、解除所有其他可能的压迫部位，并将尺神经在屈肌肌群深面进行肌下前置。术后两年，主观症状有显著改善，尽管患者仍持续感到轻度的内侧肘部不适以及沿尺神经分布区域的间歇性感觉异常。在未实现完全感觉和运动恢复的情况下实现疼痛缓解，这与其他地方报道的结果一致。简而言之，在尺神经皮下前置过程中创建筋膜皮吊带时必须格外小心。
