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以尺神经麻痹伴爪形手为表现的原发性肘关节骨关节炎

Primary elbow osteoarthritis presenting as ulnar nerve palsy with claw hand.

作者信息

Spalkit Stanzin, Sinha Anindita, Prakash Mahesh, Tripathy Satyaswarup

机构信息

Radiodiagnosis, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

Radiodiagnosis, Post Graduate Institute of Medical Education and Research, Chandigarh, India

出版信息

BMJ Case Rep. 2021 May 6;14(5):e242773. doi: 10.1136/bcr-2021-242773.

Abstract

A 59-year-old woman was referred with weakness, paraesthesia, numbness and clawing of the little and ring fingers for the last 2 years. MRI of the cervical spine was normal and nerve conduction velocity revealed abnormality of the ulnar nerve. Ultrasound and MRI showed medial osteophytes and effusion of the elbow joint with stretched and thinned ulnar nerve in the cubital tunnel. The patient underwent release and anterior transposition of the ulnar nerve with significant relief of symptoms.

摘要

一名59岁女性因过去两年出现无力、感觉异常、麻木以及小指和环指爪形手前来就诊。颈椎MRI检查正常,神经传导速度显示尺神经异常。超声和MRI显示肘关节内侧有骨赘及积液,尺神经在肘管内被牵拉且变细。该患者接受了尺神经松解及前置手术,症状明显缓解。

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