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手部穿透伤后,Guyon管远端尺动脉假性动脉瘤继发迟发性尺神经麻痹。

Delayed ulnar nerve palsy secondary to ulnar artery pseudoaneurysm distal to Guyon's canal following penetrating trauma to the hand.

作者信息

Dobson P F, Purushothaman B, Michla Y, England S, Krishnan M K, Tourret L

机构信息

City Hospitals Sunderland NHS Foundation Trust, UK.

出版信息

Ann R Coll Surg Engl. 2013 Jul;95(5):e75-6. doi: 10.1308/003588413X13511609955850.

Abstract

Compression of the ulnar nerve in Guyon's canal is an uncommon phenomenon. Reports of ulnar nerve palsy secondary to ulnar artery pseudoaneurysm at this anatomical location are very rare and equivalent pathology just distal to this site is unheard of. Here we present such a case, which featured a delayed onset of symptoms. This followed penetrating trauma to the hand. Our methods for diagnosis, operative planning and surgical treatment are included.

摘要

尺神经在Guyon管内受压是一种罕见的现象。关于在此解剖位置继发于尺动脉假性动脉瘤的尺神经麻痹的报道非常罕见,而在此部位远端的类似病理情况则闻所未闻。在此,我们报告这样一例病例,其特点是症状延迟出现。这是手部穿透伤之后发生的。本文还介绍了我们的诊断方法、手术规划和外科治疗情况。

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引用本文的文献

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Avoiding peripheral nerve injury in arterial interventions.
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Low motor ulnar nerve palsy caused by a traumatic pseudoaneurysm of the ulnar artery.
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