骨间后神经卡压：文献回顾。远侧在弗罗赫塞弓处的卡压真的是一种罕见的情况吗？
Posterior interosseous nerve entrapments: review of the literature. Is the entrapment distal to the arcade of Frohse a really rare condition?
机构信息
Department of Neurosurgery, Policlinico San Martino, University of Genoa, Largo Rosanna Benzi 10, 16143, Genoa, Italy.
Department of Neurosurgery, Policlinico San Martino Hospital, University Hospital, Largo Rosanna Benzi 10, 16132, Genoa, Italy.
出版信息
Acta Neurochir (Wien). 2018 Sep;160(9):1857-1864. doi: 10.1007/s00701-018-3615-8. Epub 2018 Jul 4.
INTRODUCTION
Spontaneous posterior interosseous nerve palsy is a rare condition. Entrapment is mostly at level of the arcade of Frohse, and a few cases of distal entrapment have been described.
METHODS
A case of entrapment distal to the arcade of Frohse is described here. Cases of distal entrapment have been reviewed from the published literature in order to evaluate the frequency of atraumatic mechanical palsy.
RESULTS
Seven cases of distal entrapment have been identified. Lesion is the cause of palsy in 58.7% of the cases and entrapment in 20.65%. The pathology is at the elbow in 33.7% of the cases, at the arcade of Frohse in 28.26%, and at the supinator canal in 10.33%. Entrapment is at the arcade of Frohse in 64.45%, proximal in 20%, and distal in 15.55%.
CONCLUSION
Posterior interosseous nerve distal entrapment is a rare condition; therefore, further investigation is needed when radiological images at the arcade of Frohse do not show any entrapment.
简介
自发性骨间后神经麻痹较为罕见。神经卡压多发生于 Frohse 弓水平，少数情况下也有远段卡压的报道。
方法
此处描述了一例发生于 Frohse 弓远段的卡压病例。为了评估非创伤性机械性麻痹的发生率，我们对已发表的文献中的远段卡压病例进行了复习。
结果
共发现 7 例远段卡压病例。病因是损伤导致麻痹的占 58.7%，卡压导致麻痹的占 20.65%。病理位于肘部的占 33.7%，位于 Frohse 弓的占 28.26%，位于旋后肌管的占 10.33%。卡压位于 Frohse 弓的占 64.45%，位于近端的占 20%，位于远段的占 15.55%。
结论
骨间后神经远段卡压较为罕见；因此，当 Frohse 弓的影像学检查未显示任何卡压时，需要进一步调查。
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