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外侧肌间隔作为桡神经受压的原因:病例报告及文献复习

Lateral intermuscular septum as cause of radial nerve compression: case report and review of the literature.

作者信息

Bowman Jason, Curnutte Bryan, Andrews Kyle, Stirton Jacob, Ebraheim Nabil, Mustapha Abdoul Azim

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 Surg Case Rep. 2018 Aug 22;2018(8):rjy226. doi: 10.1093/jscr/rjy226. eCollection 2018 Aug.

Abstract

Multiple sites of compression of the radial nerve have been described, some more commonly than others. In this case report we describe a case of radial nerve compression at the lateral intermuscular septum in a patient with a history of open reduction and internal fixation of a mid-shaft humerus fracture 10 years prior. To our knowledge, only one previous case of chronic radial nerve compression by the lateral intermuscular septum associated with a humeral shaft fracture has been described. Our patient's clinical presentation with specific electrodiagnostic abnormalities, operative findings and post-operative symptom relief point towards the rare diagnosis of compression of the radial nerve at the level of the lateral intermuscular septum as the cause of his symptoms.

摘要

已有文献描述了桡神经的多个受压部位,其中一些比其他部位更为常见。在本病例报告中,我们描述了一例桡神经在外侧肌间隔处受压的病例,该患者10年前有肱骨干骨折切开复位内固定病史。据我们所知,此前仅描述过一例与肱骨干骨折相关的外侧肌间隔慢性压迫桡神经的病例。我们患者的临床表现、特定的电诊断异常、手术发现以及术后症状缓解均指向外侧肌间隔水平桡神经受压这一罕见诊断,认为这是其症状的病因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f03/6105094/cd4ae635dc63/rjy226f01.jpg

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