Rayan G M
Orthopedic Surgery Department, University of Oklahoma Health Sciences Center, Oklahoma City.
Hand Clin. 1992 May;8(2):325-36.
Ulnar nerve compression about the elbow is common. If diagnosed and treated early, satisfactory results can be expected. Severe chronic nerve compression may lead to permanent nerve damage. The diagnosis can be made by careful history, physical examination, knowledge of the nerve anatomy, and sometimes electrodiagnosis. Cubital tunnel syndrome must be differentiated from TOS and ulnar tunnel syndrome. Double-crush syndrome should be ruled out. Nonoperative treatment must be attempted first, whereas surgical treatment is indicated in severe and chronic cases. Satisfactory results can be achieved after surgery if nerve damage is absent and careful attention to technical details and gentle handling of the nerve are exercised.
肘部尺神经受压很常见。如果早期诊断并治疗，有望获得满意的结果。严重的慢性神经受压可能导致永久性神经损伤。通过详细的病史、体格检查、对神经解剖结构的了解，有时还需借助电诊断来进行诊断。肘管综合征必须与胸廓出口综合征和尺管综合征相鉴别。应排除双卡综合征。必须首先尝试非手术治疗，而严重和慢性病例则需进行手术治疗。如果没有神经损伤，且手术中注意技术细节并轻柔处理神经，术后可取得满意的效果。
