Fediakov A G, Dubrovina O N, Dreval' O N, Gorozhanin A V, Plastunenko E N
FGBU "Gorodskaia klinicheskaia bol'nitsa im. S.P. Botkina".
FGBU DOP RMAPO, Moskva.
Zh Vopr Neirokhir Im N N Burdenko. 2014;78(6):43-49. doi: 10.17116/neiro201478643-49.
At the elbow, the ulnar nerve may be compressed either in the retrocondylar groove, in the cubital tunnel, or compressed by Osborne's band. Optimal surgical therapy should be directed at the specific site of involvement. It is more difficult to identify the level of ulnar nerve compression. Anatomical variations may make it difficult to identify the causes of ulnar neuropathy at the elbow. The data obtained by inspection, probing, or electroneurography do not allow one to reliably identify the compression level. Intraoperative electroneuromyography performed in conjunction with 14 ulnar nerve explorations helped localize the precise site of compression in 12 cases. Intraoperative studies helped identify compression by Osborne band in 8 patients. We conclude that intraoperative electroneuromyography identifies compression levels of ulnar neuropathy more accurately than the conventional examination methods do.
在肘部，尺神经可能在髁后沟、肘管内受到压迫，或者被奥斯本韧带压迫。最佳手术治疗应针对具体受累部位。确定尺神经受压水平更为困难。解剖变异可能使确定肘部尺神经病变的原因变得困难。通过检查、触诊或神经电生理检查获得的数据无法可靠地确定受压水平。在14例尺神经探查术中同时进行术中神经肌电图检查，帮助在12例中定位了精确的受压部位。术中研究帮助在8例患者中识别出奥斯本韧带所致的压迫。我们得出结论，术中神经肌电图比传统检查方法能更准确地识别尺神经病变的受压水平。
