Tsai Peter, Steinberg David R
Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Instr Course Lect. 2008;57:177-85.
It is important for physicians who treat upper extremity disorders to understand motor palsy or pain syndromes caused by compression of the median and radial nerves about the elbow and forearm. Patients with anterior interosseous nerve syndrome may report hand weakness, whereas those with pronator syndrome may present with pain and paresthesia that can be confused with carpal tunnel syndrome. Patients with posterior interosseous nerve syndrome report hand weakness, whereas those with radial tunnel syndrome report pain in the lateral elbow and forearm, which may be confused with lateral epicondylitis. Because each syndrome has overlapping symptoms, serial examinations are needed to determine the correct diagnosis.
对于治疗上肢疾病的医生来说,了解由肘部和前臂正中神经及桡神经受压引起的运动性麻痹或疼痛综合征很重要。骨间前神经综合征患者可能会报告手部无力,而旋前圆肌综合征患者可能会出现疼痛和感觉异常,这可能与腕管综合征相混淆。骨间后神经综合征患者报告手部无力,而桡管综合征患者报告外侧肘部和前臂疼痛,这可能与外侧上髁炎相混淆。由于每种综合征都有重叠的症状,因此需要进行系列检查以确定正确的诊断。