Department of Neurosurgery, Haaglanden Medical Center, The Hague, The Netherlands.
Department of Clinical Neurophysiology, Haaglanden Medical Center, The Hague, The Netherlands.
World Neurosurg. 2020 Oct;142:128-130. doi: 10.1016/j.wneu.2020.06.179. Epub 2020 Jun 26.
There is still debate in the literature on the existence of the arcade of Struthers and moreover the potential role of this structure to cause compression of the ulnar nerve.
In this article we present a patient with ulnar neuropathy caused by a muscular arcade of Struthers, which was detected preoperatively using ultrasound. Symptoms completely recovered following decompression of the nerve by transection of this muscular arcade.
This case demonstrates that a muscular arcade of Struthers can cause symptoms of ulnar neuropathy. Ultrasound in this case proved to be helpful in the preoperative workup, clearly demonstrating this unusual site of compression.
文献中仍存在关于 Struthers 弓是否存在的争议，此外，该结构是否会导致尺神经受压也存在争议。
本文报道了一例由 Struthers 肌弓引起的尺神经病变患者，术前通过超声检查发现。神经受压通过切断该肌弓进行减压后，症状完全缓解。
本病例表明 Struthers 肌弓可引起尺神经病变症状。在这种情况下，超声检查在术前评估中很有帮助，清楚地显示了这个不常见的压迫部位。
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