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腕部尺神经病变

Ulnar nerve neuropathy at the wrist.

作者信息

Ogino T, Minami A, Kato H, Takahata S

机构信息

Department of Orthopedic Surgery, Hokkaido University, School of Medicine, Sapporo/Japan.

出版信息

Handchir Mikrochir Plast Chir. 1990 Nov;22(6):304-8.

PMID:2178152
Abstract

Thirteen cases of ulnar nerve neuropathy at the wrist are presented. They include four cases of pure motor paresis affecting the ulnar-innervated intrinsic muscles, one case of pure sensory deficit and eight cases of mixed motor and sensory deficiency. A cyst was revealed by preoperative ultrasonography in two cases and by computerized tomography in one of them. The cause of ulnar nerve neuropathy was a tumor or tumor-like mass in six cases, long-time cycling in three cases and unknown in three cases. Surgery was performed in ten cases. Recovery of the nerve palsy was obtained in all except one case.

摘要

本文报告了13例腕部尺神经病变。其中包括4例单纯运动性麻痹,累及尺神经支配的手部内在肌;1例单纯感觉障碍;8例运动和感觉混合性障碍。术前超声检查发现2例有囊肿,其中1例同时经计算机断层扫描确诊。尺神经病变的原因在6例中为肿瘤或肿瘤样肿块,3例为长期骑自行车,3例原因不明。10例行手术治疗。除1例之外,其余病例神经麻痹均得以恢复。

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