Piyawinijwong Sitha, Khampremsri Nopamas, Ongsiriporn Mathee, Roongruangchai Jantima
Department of Anatomy, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
J Med Assoc Thai. 2011 Nov;94(11):1405-9.
The authors report two anatomic cases of median nerve entrapment, which can be one of the causes of carpal tunnel syndrome. Both cases were soft tissue thickening on the distal arm. The first case was the thickening of brachial fascia that resembles the Struther's ligament. The second case was the thickening of the bicipital aponeurosis combined with the supernumerary biceps brachii. Both cases demonstrated the possible cause of median nerve entrapment at the arm, which mimicked the carpal tunnel syndrome that normally occurs at the wrist. The study reports other possibly sites of causes of median nerve entrapment that clinicians should be aware of the median nerve in the arm proximal to the wrist where the carpal tunnel syndrome normally occurs. These are other points of medina nerve entrapment that clinicians should aware.
作者报告了两例正中神经卡压的解剖学病例,这可能是腕管综合征的病因之一。两例均为上臂远端软组织增厚。第一例是类似于斯特鲁瑟韧带的肱筋膜增厚。第二例是肱二头肌腱膜增厚并伴有额外的肱二头肌。两例均显示了上臂正中神经卡压的可能原因,这类似于通常发生在腕部的腕管综合征。该研究报告了正中神经卡压的其他可能部位,临床医生应注意腕管综合征通常发生部位近端手臂处的正中神经。这些是临床医生应注意的正中神经卡压的其他部位。