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肘部尺神经受压:肘管综合征

Compression of the ulnar nerve at the elbow: cubital tunnel syndrome.

作者信息

Gellman Harris

机构信息

University of Miami, Department of Orthopaedic Surgery, Miami, Florida, USA.

出版信息

Instr Course Lect. 2008;57:187-97.

Abstract

Although cubital tunnel syndrome has been described as the most common entrapment of the ulnar nerve, there is still considerable difficulty identifying the exact location of the pathologic compression of the nerve and deciding on the correct surgical or nonsurgical treatment. The most commonly recommended surgical techniques include simple (in situ) decompression, decompression with medial epicondylectomy, anterior subcutaneous transposition, and anterior submuscular transposition of the ulnar nerve at the elbow. It is important to understand the pitfalls and possible complications of these commonly used treatments.

摘要

尽管肘管综合征被认为是最常见的尺神经卡压,但在确定神经病理压迫的确切位置以及决定正确的手术或非手术治疗方案方面,仍存在相当大的困难。最常推荐的手术技术包括单纯(原位)减压、内侧上髁切除术减压、尺神经肘前皮下移位术和尺神经肘前肌下移位术。了解这些常用治疗方法的陷阱和可能的并发症很重要。

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