Gong Hyun Sik, Kim Kyung Hwan, Roh Young Hak, Lee Young Ho, Chung Moon Sang, Baek Goo Hyun
Department of Orthopaedics, Hand and Upper Extremity Service, Seoul National University Bundang Hospital, Seongnam, Korea.
J Hand Surg Am. 2010 Feb;35(2):233-6. doi: 10.1016/j.jhsa.2009.11.005.
Although ulnar neuropathy can occur at the wrist in association with distal radius fractures, few late-onset cases have been reported. The authors describe 2 cases of delayed-onset ulnar neuropathy at the wrist, which developed 12 and 30 years after sustaining a conservatively treated distal radius fracture. During late neurolysis, both patients were found to have a perforation in the volar wrist capsule and synovitis and arthritis in the distal radioulnar joint.
尽管尺神经病变可与桡骨远端骨折相关联地发生在腕部,但迟发性病例报道较少。作者描述了2例腕部迟发性尺神经病变,这2例病变分别在保守治疗的桡骨远端骨折后12年和30年出现。在后期神经松解术中,发现两名患者的掌侧腕关节囊均有穿孔,并且下尺桡关节存在滑膜炎和关节炎。