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尺侧上髁肱肌导致的肘部尺神经卡压:一例报告及手术方法

Ulnar nerve compression at the elbow caused by the epitrochleoanconeus muscle: a case report and surgical approach.

作者信息

Uscetin Ilker, Bingol Derya, Ozkaya Ozay, Orman Cagdas, Akan Mithat

机构信息

Okmeydanı Research and Training Hospital, Department of Plastic, Reconstructive and Aesthetic Surgery, Istanbul, Turkey.

出版信息

Turk Neurosurg. 2014;24(2):266-71. doi: 10.5137/1019-5149.JTN.6913-12.0.

Abstract

Cubital tunnel syndrome is the second most common peripheral nerve compression syndrome. It is the most common peripheral neuropathy of the ulnar nerve. The surgical treatment of the cubital tunnel syndrome is widely described in the literature, however the variations of the standard muscular anatomy in the medial humeral epicondyle region may create technical difficulties during surgical management. The epitrochleoanconeus muscle, which is an aberrant muscle of this region, is a rare cause of cubital tunnel syndrome. A case with ulnar nerve compression at the elbow caused by an uncommon etiological factor, hypertrophic epitrochleoanconeus muscle, and its surgical management is reported.

摘要

肘管综合征是第二常见的周围神经卡压综合征。它是尺神经最常见的周围神经病变。文献中对肘管综合征的手术治疗有广泛描述,然而肱骨内上髁区域标准肌肉解剖结构的变异可能在手术处理过程中造成技术困难。肱肌滑车肌是该区域的一种异常肌肉,是肘管综合征的罕见病因。本文报道了一例由罕见病因肥厚性肱肌滑车肌导致的肘部尺神经卡压病例及其手术治疗情况。

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