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特发性肘管综合征的 CT 测量值的有效性与尺神经沟形态学比较。

Validity of computed tomographic measurements and morphological comparison of cubital tunnel in idiopathic cubital tunnel syndrome.

机构信息

Department of Orthopedic Surgery, Eulji University College of Medicine, 1306 Dunsan-dong, Seo-gu, Daejeon, 302-799, South Korea.

出版信息

BMC Musculoskelet Disord. 2020 Feb 5;21(1):76. doi: 10.1186/s12891-020-3108-9.

DOI:10.1186/s12891-020-3108-9
PMID:32024499
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7003489/
Abstract

BACKGROUND

Ulnar neuropathy is a common reason for referral to hand surgeons, and 10 to 30% of cubital tunnel syndrome (CuTS) is idiopathic. We hypothesized that the cause of idiopathic CuTS is in the bony structure.

METHODS

We analyzed 79 elbows (39 idiopathic CuTS and 40 without CuTS symptom) using computed tomography and Materialize Mimics software to compare the differences between the two groups. We proposed a new bony cubital tunnel with a new boundary that could play a role in ulnar nerve compression symptom.

RESULTS

The mean cubital tunnel volume was 1245.6 mm in all patients, 1180.6 mm in CuTS patients, and 1282.3 mm in the control group. A significant difference (p = 0.015) between two groups was found. Bony cubital tunnel cross-sectional area, cubital tunnel depth, and cubital tunnel angle also showed significant differences.

CONCLUSION

The shape of the bony cubital tunnel is an important cause of CuTS, and the normal variation of the volume and cross-sectional area of the cubital tunnel and cubital tunnel angle could influence the occurrence of idiopathic CuTS.

摘要

背景

尺神经病变是手外科医生常见的转诊原因，10%至 30%的肘管综合征（CuTS）是特发性的。我们假设特发性 CuTS 的病因在于骨骼结构。

方法

我们使用计算机断层扫描和 Materialize Mimics 软件分析了 79 个肘部（39 例特发性 CuTS 和 40 例无 CuTS 症状），比较了两组之间的差异。我们提出了一个新的骨性肘管，具有一个新的边界，可能在尺神经受压症状中发挥作用。

结果

所有患者的平均肘管容积为 1245.6mm，CuTS 患者为 1180.6mm，对照组为 1282.3mm。两组间存在显著差异（p=0.015）。骨性肘管横截面积、肘管深度和肘管角度也存在显著差异。

结论

骨性肘管的形状是 CuTS 的一个重要原因，肘管容积和横截面积以及肘管角度的正常变化可能会影响特发性 CuTS 的发生。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f8b/7003489/1fa6166e5676/12891_2020_3108_Fig9_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f8b/7003489/b6b6f837bec5/12891_2020_3108_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f8b/7003489/caa9c1fa55d2/12891_2020_3108_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f8b/7003489/cfecb3bce758/12891_2020_3108_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f8b/7003489/b3516ea0c2fd/12891_2020_3108_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f8b/7003489/6108a006c181/12891_2020_3108_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f8b/7003489/acda035bf586/12891_2020_3108_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f8b/7003489/55b83b706ec2/12891_2020_3108_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f8b/7003489/ab0ad7b65deb/12891_2020_3108_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f8b/7003489/1fa6166e5676/12891_2020_3108_Fig9_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f8b/7003489/b6b6f837bec5/12891_2020_3108_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f8b/7003489/caa9c1fa55d2/12891_2020_3108_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f8b/7003489/cfecb3bce758/12891_2020_3108_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f8b/7003489/b3516ea0c2fd/12891_2020_3108_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f8b/7003489/6108a006c181/12891_2020_3108_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f8b/7003489/acda035bf586/12891_2020_3108_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f8b/7003489/55b83b706ec2/12891_2020_3108_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f8b/7003489/ab0ad7b65deb/12891_2020_3108_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f8b/7003489/1fa6166e5676/12891_2020_3108_Fig9_HTML.jpg

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