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脂肪瘤导致的锁骨下正中神经受压

Infraclavicular median nerve compression caused by a lipoma.

作者信息

Weinzweig N, Browne E Z

机构信息

Department of Plastic and Reconstructive Surgery, Cleveland Clinic, OH 44106.

出版信息

Orthopedics. 1988 Jul;11(7):1077-8. doi: 10.3928/0147-7447-19880701-10.

Abstract

The most common site of median nerve compression is in the carpal tunnel, the most common of all entrapment neuropathies. Less frequent entrapment neuropathies of the median nerve include the anterior interosseous and pronator syndromes in the proximal forearm. Even less commonly seen is entrapment at the infraclavicular segment of the brachial plexus. Median nerve compression at the level of the axilla has been reported as being caused by anomalous axillary arch muscles, anomalous vascular perforations of the nerve or its roots, the pectoralis minor muscle, and a thickening of the deltopectoral fascia. To the authors' knowledge, this is the first report of compression at that level by a benign tumor.

摘要

正中神经受压最常见的部位是腕管,这是所有卡压性神经病中最常见的。正中神经较少见的卡压性神经病包括前臂近端的骨间前神经和旋前圆肌综合征。臂丛神经锁骨下节段的卡压则更为少见。据报道,腋窝水平的正中神经受压是由异常的腋弓肌、神经或其神经根的异常血管穿支、胸小肌以及三角肌胸肌筋膜增厚引起的。据作者所知,这是关于该水平由良性肿瘤导致压迫的首次报道。

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