Robinson D, Aghasi M K, Halperin N
Orthopaedic Department A, Assaf Harofeh Medical Center, Zerifin, Israel.
J Hand Surg Br. 1992 Jun;17(3):255-6. doi: 10.1016/0266-7681(92)90109-f.
Prospective analysis of 27 medial epicondylectomies in 22 patients with McGowan grade I ulnar neuropathy demonstrated an improvement in clinical symptoms. In all patients a N.C.V. study, in which compression of the ulnar nerve at the cubital tunnel was evident, has been a prerequisite for operation. Conduction velocity across the cubital tunnel averaged 48% of normal (26.4 +/- 8.7 metres per second) preoperatively and increased to 85% of normal (46.7 +/- 9.7 metres per second) postoperatively. A preoperative N.C.V. study allows the achievement of a high success rate, especially in the less well clinically defined group of patients with grade I neuropathy (subjective complaints without any objective signs of muscle atrophy). Medial epicondylectomy is safe and predictable in the treatment of cubital tunnel syndrome.
对22例患有麦高恩I级尺神经病变的患者进行的27次内侧上髁切除术的前瞻性分析表明，临床症状有所改善。对所有患者而言，术前进行神经传导速度（N.C.V.）研究且显示尺神经在肘管处受压是手术的先决条件。术前肘管处的传导速度平均为正常速度的48%（26.4±8.7米/秒），术后增至正常速度的85%（46.7±9.7米/秒）。术前进行N.C.V.研究可实现较高的成功率，尤其是在临床定义不太明确的I级神经病变患者组（仅有主观症状而无任何肌肉萎缩客观体征）中。内侧上髁切除术在治疗肘管综合征方面是安全且可预测的。
