肘管综合征：解剖、临床表现及治疗
Cubital tunnel syndrome: Anatomy, clinical presentation, and management.
作者信息
Andrews Kyle, Rowland Andrea, Pranjal Ankur, Ebraheim Nabil
机构信息
Department of Orthopaedic Surgery, University of Toledo College of Medicine and Life Sciences, 3000 Arlington Ave., Toledo, OH, 43614, USA.
出版信息
J Orthop. 2018 Aug 16;15(3):832-836. doi: 10.1016/j.jor.2018.08.010. eCollection 2018 Sep.
Abstract
Cubital tunnel syndrome is the second most common peripheral nerve compression seen by hand surgeons. A thorough understanding of the ulnar nerve anatomy and common sites of compression are required to determine the cause of the neuropathy and proper treatment. Recognizing the various clinical presentations of ulnar nerve compression can guide the surgeon to choose examination tests that aid in localizing the site of compression. Diagnostic studies such as radiographs and electromyography can aid in diagnosis. Conservative management with bracing is typically trialed first. Surgical decompression with or without ulnar nerve transposition is the mainstay of surgical treatment. This article provides a review of the ulnar nerve anatomy, clinical presentation, diagnostic studies, and treatment options for management of cubital tunnel syndrome.
摘要
肘管综合征是手外科医生所见的第二常见的周围神经受压疾病。要确定神经病变的原因和恰当的治疗方法，需要全面了解尺神经的解剖结构和常见的受压部位。认识到尺神经受压的各种临床表现，可以指导外科医生选择有助于确定受压部位的检查测试。诸如X线片和肌电图等诊断性研究有助于诊断。通常首先尝试使用支具进行保守治疗。伴有或不伴有尺神经转位的手术减压是外科治疗的主要方法。本文综述了尺神经的解剖结构、临床表现、诊断性研究以及肘管综合征的治疗选择。
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