Heinen C P G, Richter H-P, König R W, Shiban E, Golenhofen N, Antoniadis G
Neurochirurgische Abteilung der Universität Ulm am BKH zu Günzburg.
Handchir Mikrochir Plast Chir. 2009 Feb;41(1):23-7. doi: 10.1055/s-0029-1185290. Epub 2009 Feb 17.
Besides the carpal tunnel syndrome, the cubital tunnel syndrome (CuTS) represents the second most frequent nerve entrapment syndrome. The current gold standard for surgical therapy consists of simple open decompression. Recently, an endoscopic procedure involving long-distance decompression of the ulnar nerve has been developed and this is the topic of the present study. The first part of this paper describes preliminary anatomic investigations on 22 cadaver arms. In every sample we observed a thickening of the submuscular membrane between the heads of the flexor carpi ulnaris (FCU) which surrounds the ulnar nerve. This was especially the case for the first 10 cm from the medial epicondyle In the second part we report our experiences with this endoscopic decompression procedure in 36 patients. With this endoscopic decompression we achieved good to very good results according to the Bishop classification in 28 patients (78%). On the basis of anatomic considerations and our current experience, the endoscopic procedure seems to represent a promising alternative to simple decompression.
除腕管综合征外，肘管综合征（CuTS）是第二常见的神经卡压综合征。目前手术治疗的金标准是单纯开放减压。最近，一种涉及尺神经长距离减压的内镜手术已经开发出来，这就是本研究的主题。本文的第一部分描述了对22只尸体手臂的初步解剖学研究。在每个样本中，我们观察到围绕尺神经的尺侧腕屈肌（FCU）两头之间的肌下膜增厚。从内上髁起的前10厘米尤其如此。在第二部分中，我们报告了36例患者接受这种内镜减压手术的经验。根据毕晓普分类法，通过这种内镜减压，28例患者（78%）取得了良好至非常好的效果。基于解剖学考虑和我们目前的经验，内镜手术似乎是单纯减压的一种有前景的替代方法。
