Schuhl J F, Gleises C
Département de Chirurgie de la Main, Hôpital Ecole de la Croix Rouge Française, Bois-Guillaume.
Ann Chir Main Memb Super. 1990;9(4):315-7. doi: 10.1016/s0753-9053(05)80183-8.
Two cases of acute post-operative compression of the ulnar nerve after, nerve release of the median nerve in the wrist are reported. The ulnar, nerve was free of any lesion on the preoperative clinical or electrical examination, at the elbow or the wrist. Stenosis of this nerve occurred during the month following the median nerve release as confirmed by EMG. The compression was treated by ulnar nerve release. Such a complication, representing 0.2% in a series of 982 cases of carpal tunnel syndrome, has never been mentioned in the literature. The authors suggest an etiopathogenic hypothesis which guides a new surgical approach.
报告了2例在腕部正中神经松解术后发生尺神经急性术后受压的病例。术前临床及电检查显示，肘部或腕部的尺神经无任何病变。肌电图证实，该神经在正中神经松解术后1个月内出现狭窄。通过尺神经松解术对压迫进行了治疗。在一系列982例腕管综合征病例中，这种并发症占0.2%，文献中从未提及。作者提出了一种病因假说，该假说指导了一种新的手术方法。
