桡骨畸形愈合后腕部迟发性尺神经病变伴下尺桡关节关节炎：两例报告

Delayed-onset ulnar neuropathy at the wrist associated with distal radioulnar joint arthritis after radius malunion: report of two cases.

作者信息

Gong Hyun Sik, Kim Kyung Hwan, Roh Young Hak, Lee Young Ho, Chung Moon Sang, Baek Goo Hyun

机构信息

Department of Orthopaedics, Hand and Upper Extremity Service, Seoul National University Bundang Hospital, Seongnam, Korea.

出版信息

J Hand Surg Am. 2010 Feb;35(2):233-6. doi: 10.1016/j.jhsa.2009.11.005.

DOI:10.1016/j.jhsa.2009.11.005

PMID:20141893

Abstract

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.

摘要

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。