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髁上突综合征:病例报告及文献综述

Supracondylar process syndrome: case report and literature review.

作者信息

Opanova Maria I, Atkinson Robert E

机构信息

Department of Orthopaedic Surgery, University of Hawaii, Honolulu, HI.

Department of Orthopaedic Surgery, University of Hawaii, Honolulu, HI.

出版信息

J Hand Surg Am. 2014 Jun;39(6):1130-5. doi: 10.1016/j.jhsa.2014.03.035.

Abstract

The supracondylar process is a congenital bone projection on the distal anteromedial humerus often associated with a ligament of Struthers, a fibrous connection between the process and medial epicondyle. It is largely asymptomatic and only on rare occasions presents with neurovascular compression resulting in a supracondylar process syndrome. This case report describes a 28-year-old woman with supracondylar process syndrome, and our management. The topic is further explored with a literature review of 43 reported cases. Analysis of the case reports indicates that isolated median nerve injuries are the most common. Other presentations such as fractures, vascular compromise, and ulnar nerve involvement are less frequent.

摘要

髁上突是肱骨远端前内侧的先天性骨突起,常与Struthers韧带相关,Struthers韧带是该突起与内上髁之间的纤维连接。它大多无症状,仅在极少数情况下会出现神经血管受压,导致髁上突综合征。本病例报告描述了一名患有髁上突综合征的28岁女性及我们的治疗方法。通过对43例报告病例的文献综述进一步探讨了该主题。对病例报告的分析表明,孤立性正中神经损伤最为常见。其他表现如骨折、血管损伤和尺神经受累则较少见。

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