Nathan P A, Myers L D, Keniston R C, Meadows K D
Portland Hand Surgery and Rehabilitation Centre, Oregon.
J Hand Surg Br. 1992 Jun;17(3):251-4. doi: 10.1016/0266-7681(92)90108-e.
Anterior transposition and/or medial epicondylectomy are often considered procedures of choice for ulnar neuropathy at the elbow. Much experience suggests simple decompression to be a comparably effective alternative which involves less trauma, morbidity, and rehabilitation time. The post-operative clinical and electrophysiological results of 52 cases of simple decompression (41 patients) are summarized. Excellent or good clinical results were found in 75% of the nerves. Mean ulnar motor conduction velocities were significantly improved post-operatively, although nerve conduction parameters did not consistently correlate with clinical outcome. The average return-to-work time was 5.1 weeks. The advantages of simple decompression make it the procedure of choice for most cases of ulnar neuropathy.
对于肘部尺神经病变，前移位术和/或内侧上髁切除术常被视为首选手术方式。大量经验表明，单纯减压术是一种效果相当的替代方法，其创伤更小、发病率更低且康复时间更短。本文总结了52例（41名患者）单纯减压术的术后临床及电生理结果。75%的神经获得了优或良的临床效果。术后尺神经运动传导速度显著提高，尽管神经传导参数与临床结果并非始终相关。平均重返工作时间为5.1周。单纯减压术的优势使其成为大多数尺神经病变病例的首选手术方式。
