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肥厚性肘肌作为肘部尺神经病变的一个原因。

Hypertrophic ancenous epitrochlearis muscle as a cause of ulnar neuropathy at elbow.

作者信息

Yalcin Elif, Demir Sibel Ozbudak, Dizdar Dilek, Buyukvural Sıdıka, Akyuz Mufit

机构信息

Department of Physical Medicine and Rehabilitation, Ankara Physical Medicine and Rehabilitation Training and Research Hospital of the Ministry of Health, Ankara, Turkey.

出版信息

J Back Musculoskelet Rehabil. 2013;26(2):155-7. doi: 10.3233/BMR-2012-00360.

DOI:10.3233/BMR-2012-00360
PMID:23629545
Abstract

We report herein a 35-year-old man who suffered from pain at his left elbow and numbness in his left hand. Electromyographic studies demonstrated a localized nerve conduction block in the left elbow region. Ultrasonographic evaluation revealed enlargement of the ulnar nerve at the level of the medial epicondyle as well as bilateral anconeus epitrochlearis muscles, one of which was hypertrophic, causing the ulnar neuropathy at the symptomatic site. We emphasize with this case report the complementary role of ultrasound in peripheral nerve pathologies, as it confirmed the entrapment and determined the underlying cause.

摘要

我们在此报告一名35岁男性,他患有左肘部疼痛和左手麻木。肌电图研究显示左肘部区域存在局限性神经传导阻滞。超声评估显示在内上髁水平尺神经增粗,以及双侧肱三头肌内侧头肌肉,其中一块肥厚,导致了症状部位的尺神经病变。我们通过本病例报告强调超声在周围神经病变中的辅助作用,因为它证实了卡压并确定了潜在病因。

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Hypertrophic ancenous epitrochlearis muscle as a cause of ulnar neuropathy at elbow.肥厚性肘肌作为肘部尺神经病变的一个原因。
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引用本文的文献

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Anconeus Exertional Compartment Syndrome and Posterolateral Rotatory Elbow Instability: A Clinical Association and Rare Cause of Elbow Pain.肱三头肌外侧头运动性肌间隔综合征与肘关节后外侧旋转不稳定:一种临床关联及肘部疼痛的罕见原因。
Orthop J Sports Med. 2024 Sep 23;12(9):23259671241272483. doi: 10.1177/23259671241272483. eCollection 2024 Sep.
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Prevalence and Clinical Manifestations of the Anconeus Epitrochlearis and Cubital Tunnel Syndrome.肘管综合征中肘后外侧皮神经返支和尺神经卡压的发生率和临床表现。
Hand (N Y). 2020 Jan;15(1):69-74. doi: 10.1177/1558944718789412. Epub 2018 Jul 20.
3
Assessment of the utility of ultrasonography with high-frequency transducers in the diagnosis of entrapment neuropathies.
高频探头超声检查在诊断卡压性神经病中的应用评估
J Ultrason. 2014 Dec;14(59):371-92. doi: 10.15557/JoU.2014.0039. Epub 2014 Dec 30.