Jacobson Jon A, Fessell David P, Lobo Lucas Da Gama, Yang Lynda J-S
Division of Musculoskeletal Radiology, Department of Radiology, University of Michigan, 1500 East Medical Center Drive, Ann Arbor, MI 48109-0326, USA.
Semin Musculoskelet Radiol. 2010 Nov;14(5):473-86. doi: 10.1055/s-0030-1268068. Epub 2010 Nov 11.
Several entrapment neuropathies of the upper extremity can cause hypoechoic swelling and nerve compression as seen at ultrasound. The ulnar nerve can be compressed at the cubital tunnel of the elbow and Guyon's canal at the wrist. The deep branch of the radial nerve can be compressed at the supinator muscle at the elbow, and the superficial radial nerve may be compressed at the dorsal wrist (Wartenberg's syndrome). In addition to compression at the carpal tunnel, the median nerve may be compressed at the elbow, related to a supracondylar process or by the pronator teres. Knowledge of these key anatomical sites of potential nerve compression is essential for accurate diagnosis of entrapment neuropathies.
上肢的几种卡压性神经病可导致超声所见的低回声肿胀和神经受压。尺神经可在肘部的肘管和腕部的Guyon管受压。桡神经深支可在肘部的旋后肌处受压,桡神经浅支可能在腕背侧受压(Wartenberg综合征)。除了在腕管受压外,正中神经可能在肘部因髁上突或旋前圆肌而受压。了解这些潜在神经受压的关键解剖部位对于准确诊断卡压性神经病至关重要。