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首例指神经沙漏样缩窄性神经病变。

The first case of hourglass-like constriction neuropathy of a digital nerve.

作者信息

El Sayed L, Teboul F, Asmar G, Goubier J-N

机构信息

International Surgical Hand Center of Parc Monceau, 92, boulevard de Courcelles, 75017 Paris, France.

International Surgical Hand Center of Parc Monceau, 92, boulevard de Courcelles, 75017 Paris, France.

出版信息

Hand Surg Rehabil. 2018 Apr;37(2):114-116. doi: 10.1016/j.hansur.2017.11.005. Epub 2018 Feb 12.

DOI:10.1016/j.hansur.2017.11.005
PMID:29449158
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7104038/
Abstract

Neuropathies of digital nerves are an infrequent phenomenon and their causes are most often mechanical. A rare cause of acute neuropathy is hourglass-like fascicular constriction of a nerve due to torsion. Although several cases of hourglass-like constriction have been described in the literature, none to our knowledge involved digital nerves. In this report, we present the first case of hourglass-like constriction of a digital nerve.

摘要

指神经病变是一种罕见现象，其病因大多为机械性的。急性神经病变的一个罕见病因是神经因扭转而出现沙漏样束状狭窄。尽管文献中已描述了几例沙漏样狭窄病例，但据我们所知，尚无涉及指神经的病例。在本报告中，我们呈现了首例指神经沙漏样狭窄病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cb9/7104038/20d48c1ac0ad/gr3_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cb9/7104038/556ba55ed1a4/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cb9/7104038/791e7586483f/gr2_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cb9/7104038/20d48c1ac0ad/gr3_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cb9/7104038/556ba55ed1a4/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cb9/7104038/791e7586483f/gr2_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cb9/7104038/20d48c1ac0ad/gr3_lrg.jpg

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本文引用的文献

1
Correlation between "hourglass-like fascicular constriction" and idiopathic anterior interosseous nerve palsy.“沙漏样束状狭窄”与特发性骨间前神经麻痹的相关性。
Muscle Nerve. 2017 Apr;55(4):508-512. doi: 10.1002/mus.25361. Epub 2016 Dec 23.
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Hourglass-like constrictions of peripheral nerve in the upper extremity: a clinical review and pathological study.上肢周围神经的沙漏样狭窄：一项临床综述与病理研究
Neurosurgery. 2014 Jul;75(1):10-22. doi: 10.1227/NEU.0000000000000350.
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Fascicular constrictions in patients with spontaneous palsy of the anterior interosseous nerve and the posterior interosseous nerve.
骨间前神经和骨间后神经自发性麻痹患者的束状狭窄
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Simultaneous anterior and posterior interosseous nerve paralysis with several hourglass-like fascicular constrictions in both nerves.同时出现的骨间前神经和骨间后神经麻痹，且两条神经均有多处沙漏样束状狭窄。
J Hand Surg Am. 2001 Nov;26(6):1088-92. doi: 10.1053/jhsu.2001.27766.