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上臂中部周围的尺神经病变合并马丁-格鲁伯吻合。

Ulnar neuropathy around the mid-arm combined with martin-gruber anastomosis.

作者信息

Kim Bong Joo, Kim Dong Hwee

机构信息

Department of Physical Medicine and Rehabilitation, College of Medicine, Korea University, Seoul 136-705, Korea.

出版信息

Ann Rehabil Med. 2012 Oct;36(5):719-23. doi: 10.5535/arm.2012.36.5.719. Epub 2012 Oct 31.

Abstract

This study reports a rare case of ulnar neuropathy around the arm with Martin-Gruber anastomosis of a moderate conduction block in the forearm segment and a severe conduction block in the arm segment. Inching tests and ultrasonography showed a lesion between 12 and 14 cm from the medial epicondyle. It is concluded that axilla stimulation may provide diagnostic clues, and inching tests and ultrasonography may be helpful for localizing a lesion.

摘要

本研究报告了一例罕见的臂部尺神经病变病例,伴有Martin - Gruber吻合,在前臂段存在中度传导阻滞,在臂段存在严重传导阻滞。分段肌电图检查和超声检查显示在内侧髁上12至14厘米处有病变。结论是腋窝刺激可能提供诊断线索,分段肌电图检查和超声检查可能有助于病变定位。

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本文引用的文献

1
An anatomic study of the Martin-Gruber anastomosis: electrodiagnostic implications.
Muscle Nerve. 2005 Jan;31(1):95-7. doi: 10.1002/mus.20141.
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Electrophysiological evaluation of the incidence of martin-gruber anastomosis in healthy subjects.
Yonsei Med J. 2002 Jun;43(3):291-5. doi: 10.3349/ymj.2002.43.3.291.
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Martin-Gruber anastomosis revisited.
Clin Anat. 2002 Mar;15(2):129-34. doi: 10.1002/ca.1107.
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Proximal Martin-Gruber anastomosis mimicking ulnar neuropathy at the elbow.
Muscle Nerve. 1999 Aug;22(8):1132-5. doi: 10.1002/(sici)1097-4598(199908)22:8<1132::aid-mus20>3.0.co;2-9.

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