Swanson Scott, Macias Luis H, Smith Anthony A
Division of Plastic and Reconstructive Surgery, Mayo Clinic Arizona, Scottsdale, AZ 85255, USA.
Hand (N Y). 2009 Sep;4(3):323-6. doi: 10.1007/s11552-009-9170-2. Epub 2009 Feb 12.
Bowler's thumb presents as paresthesias or a neuroma involving the ulnar digital nerve of the thumb. Over 95 million people enjoy bowling worldwide with nearly 3 million certified league bowlers in the United States. While the incidence of Bowler's thumb is unknown, it is an unrelenting nuisance for bowlers, and symptoms can be severe enough to prevent further sport participation. The condition can be managed nonoperatively with rest and splinting, but successful nonoperative treatment frequently requires discontinuation of bowling. The pressure on athletes to resume sports participation sooner and the possibility of nonoperative treatment failure mandate the need for development of a dependable surgical procedure for this condition. We present a case report of a successful surgical treatment by transposing the ulnar digital nerve dorsal to the adductor pollicis. The patient returned to manual labor and resumed bowling and is symptom free 3 years postsurgery.
保龄球拇指表现为拇指尺侧指神经的感觉异常或神经瘤。全球有超过9500万人喜欢打保龄球，在美国有近300万注册联赛保龄球手。虽然保龄球拇指的发病率尚不清楚，但它对保龄球手来说是个持续不断的麻烦，症状可能严重到足以阻止他们继续参与这项运动。这种情况可以通过休息和夹板固定进行非手术治疗，但成功的非手术治疗通常需要停止打保龄球。运动员尽早恢复运动的压力以及非手术治疗失败的可能性，使得有必要为这种情况开发一种可靠的外科手术方法。我们报告一例通过将尺侧指神经转位至拇收肌背侧进行成功手术治疗的病例。患者术后恢复体力劳动并重新开始打保龄球，术后3年无症状。
