Kim Bong Joo, Kim Dong Hwee
Department of Physical Medicine and Rehabilitation, College of Medicine, Korea University, Seoul 136-705, Korea.
Ann Rehabil Med. 2012 Oct;36(5):719-23. doi: 10.5535/arm.2012.36.5.719. Epub 2012 Oct 31.
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.
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。