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[关于尺神经运动纤维传导性与周围神经疾病的强度、定位及诊断的研究。I. 对尺神经病变区域的一般及形态学观察,重点关注肘部区域及疾病病因]

[Study of conductivity of the motor fibers of the ulnar nerve with respect to intensity, localization and diagnosis of peripheral nerve disease. I. General and morphologic observations on the affected area of the ulnar nerve with emphasis on the elbow region and causes of the disease].

作者信息

Pára F

出版信息

Sb Ved Pr Lek Fak Karlovy Univerzity Hradci Kralove Suppl. 1989;32(5):569-87.

PMID:2561617
Abstract

The introductory part deals with a great community impact of ulnar nerve damage and its high incidence. From peripheral nerves, this ulnar is the most frequently exposed to injuries and impresses. The impressory damage occurs mainly in elbow region. Anatomic peculiarities of ulnar nerve are scrutinized concerning with more connective tissue presence on its cutting section comparably to the other upper limb nerves. Frequent innervative deviations are referred to especially in ulnar and median nerve regions in the course of ulnar nerve branching. Also three types of anastomoses are listed between the both nerves which are important as to the clinical pattern in damages and for electrophysiologic diagnosing. From the clinical tests, those of rare use are emphasized (test of crossed fingers, palmaris brevis sign, Mumenthaler's sign, ulnar test). The last part deals in detail with anatomic, functional and clinical problems of ulnar nerve in elbow area. Its biomechanic relations in the cubital tunnel are elucidated as well as etiopathogenetic factors of neural damage in this area (traction and compressive theories and hypermobility of the nerve etc.). The most frequent causes of ulnar injuries are reviewed. The present work is of introductory value for those dealing mainly with electrophysiologic problems of both sensitive and motoric neural injuries varying in the intensity, location and diagnosis.

摘要

引言部分探讨了尺神经损伤对社会的重大影响及其高发病率。在周围神经中,尺神经最常受到损伤且令人关注。损伤主要发生在肘部区域。与上肢其他神经相比,尺神经的解剖特点在于其横断面上有更多的结缔组织。在尺神经分支过程中,尤其在尺神经和正中神经区域,常出现神经支配异常。文中还列出了这两条神经之间的三种吻合类型,这对于损伤的临床模式和电生理诊断都很重要。在临床检查方面,强调了那些较少使用的检查(交叉手指试验、掌短肌征、穆门塔勒征、尺神经试验)。最后一部分详细讨论了肘部区域尺神经的解剖、功能和临床问题。阐述了其在肘管中的生物力学关系以及该区域神经损伤的病因学因素(牵拉和压迫理论以及神经的活动过度等)。回顾了尺神经损伤最常见的原因。本研究对于主要处理感觉和运动神经损伤的电生理问题(损伤强度、位置和诊断各异)的人员具有入门价值。

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