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[肱二头肌腱远端断裂后骨间后神经卡压综合征:病理生理学及文献综述,1例未报道病例报告]

[Posterior interosseous nerve entrapment syndrome following distal rupture of the biceps tendon: physiopathology and literature review, an unreported case report].

作者信息

Waitzenegger T, Chammas M, Lazerges C, Coulet B

机构信息

Service de chirurgie de la main et du membre supérieur, chirurgie des nerfs périphériques, CHRU hôpital Lapeyronie, 371, avenue du Doyen-Giraud, Montpellier, France.

出版信息

Chir Main. 2013 Feb;32(1):44-7. doi: 10.1016/j.main.2012.12.004. Epub 2013 Jan 5.

Abstract

We report a unique and previously unreported case of motor paralysis of the posterior interosseous nerve of rapid onset in a context of hypertrophy of the short supinator muscle, occurring 2 years after a distal rupture of the biceps in a 62 year-old man. The ruptured tendon had received functional treatment due to the patient's age and low functional requirements. Operatively, the deep branch of the radial nerve was released within the arcade of Frohse with complete recovery from symptoms at 5 months. The unrepaired rupture of the distal portion of the biceps could be a risk factor for posterior interosseous nerve compression in active subjects.

摘要

我们报告了一例独特的、此前未报道过的病例,一名62岁男性在肱二头肌远端断裂2年后,出现短旋后肌肥大,导致骨间后神经迅速发生运动麻痹。由于患者年龄及功能需求较低,断裂的肌腱接受了功能治疗。手术中,在弗罗瑟弓内松解了桡神经深支,患者在5个月时症状完全恢复。对于活动的个体,肱二头肌远端未修复的断裂可能是骨间后神经受压的一个危险因素。

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