Gumucio C A, Lund H, Young V L, Young A E
Division of Plastic Surgery, Washington University School of Medicine, St. Louis, Missouri 63110.
Mo Med. 1992 Apr;89(4):231-40.
Ulnar nerve entrapment can be divided into compression at the elbow and the wrist. Etiologies range from direct trauma to metabolic derangements. Guidelines for diagnosis at each site have been presented. Surgical release at the elbow begin at the mid arm where the nerve passes from the anterior to the posterior compartment through the intermuscular septum and extends into the proximal forearm, where it dives down under the heads of the flexor carpi ulnaris. Surgical release at the wrist involves deroofing the canal of Guyon. The authors' preferred methods of release at each site are given along with a description of positive care.
尺神经卡压可分为肘部和腕部受压。病因范围从直接创伤到代谢紊乱。已给出每个部位的诊断指南。肘部手术松解始于上臂中部,神经在此处从前侧肌间隔进入后侧肌间隔,并延伸至前臂近端,在那里它潜入尺侧腕屈肌两头下方。腕部手术松解包括切除Guyon管顶。文中给出了作者在每个部位首选的松解方法以及积极护理的描述。