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当前关于肘周围桡神经卡压的手术入路概念。

Current concepts of surgical approach for radial nerve entrapment around the elbow.

机构信息

Hesperia Hospital, Department of Orthopaedic and Traumatology Surgery, Shoulder and Elbow Unit, Modena, 41124, Italy.

Department of Public Health, Federico II University, Napoli 80126, Italy.

出版信息

J ISAKOS. 2024 Jun;9(3):476-481. doi: 10.1016/j.jisako.2024.03.001. Epub 2024 Mar 5.

Abstract

Radial nerve entrapment is an uncommon diagnosis. The entrapment can occur at any location within the course of the nerve distribution, but the most frequent location of entrapment occurs around the elbow and involves the posterior interosseous nerve. Several potential sites of radial nerve entrapment around the elbow are identified: the capsular tissue of the radiocapitellar joint; hypertrophic crossing branches of leash of henry; the leading proximal tendinous and medial edge of extensor carpi radialis brevis; the arcade of Frohse and distal border of the supinator between its two heads. The arcade of Frohse is the most common site of compression. The aim of this manuscript is to describe the common surgical methods to approach the radial nerve entrapments around the elbow and define the preferred surgical approach based on the site of compression.

摘要

桡神经卡压是一种不常见的诊断。神经卡压可发生在神经分布的任何部位,但最常见的卡压部位发生在肘部,涉及骨间后神经。在肘部,桡神经有几个潜在的卡压部位:桡尺关节囊组织;亨利束的肥大交叉分支;桡侧伸腕短肌的近端腱性和内侧缘;弗罗赫斯弓和两头旋后肌之间的旋后肌远端边界。弗罗赫斯弓是最常见的压迫部位。本文的目的是描述常见的手术方法来解决肘部周围的桡神经卡压,并根据压迫部位来确定首选的手术方法。

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