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[一名吉他演奏者的不完全性骨间前神经综合征]

[Incomplete anterior interosseous nerve syndrome in a guitar player].

作者信息

Rieck B

机构信息

Klinik für Plastische Chirurgie und Handchirurgie, Klinikum Hildesheim GmbH, Hildesheim.

出版信息

Handchir Mikrochir Plast Chir. 2005 Dec;37(6):418-22. doi: 10.1055/s-2005-837702.

Abstract

A rare case of median nerve compression syndrome is reported in a guitar player who had changed the posture and position of his instrument so that the edge of the guitar exerted sharp pressure on the median nerve close to the branching of the interosseous anterior nerve. There was partial paralysis of the interosseous anterior nerve with complete failure of the deep flexor of the index finger, while the flexor pollicis longus was intact. There was also paresthesia of the index finger. Treatment was conservative with a sleeve including a gel cushion which protected the forearm against the edge of the instrument. Function recurred completely within six weeks without ever interrupting instrument practice.

摘要

报告了一例罕见的正中神经压迫综合征病例,患者为一名吉他手,他改变了乐器的姿势和位置,致使吉他边缘对靠近骨间前神经分支处的正中神经施加了尖锐的压力。骨间前神经出现部分麻痹,食指深屈肌完全丧失功能,而拇长屈肌完好无损。食指也有感觉异常。治疗采用保守方法,使用了一个带有凝胶垫的护臂,保护前臂免受乐器边缘的压迫。六周内功能完全恢复,且从未中断乐器练习。

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