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尺神经被深层屈肌-旋前肌腱膜卡压。

Entrapment of the ulnar nerve by the deep flexor-pronator aponeurosis.

作者信息

Amadio P C, Beckenbaugh R D

出版信息

J Hand Surg Am. 1986 Jan;11(1):83-7. doi: 10.1016/s0363-5023(86)80110-1.

DOI:10.1016/s0363-5023(86)80110-1
PMID:3944451
Abstract

A study of eight patients and 20 cadaveric limbs identified the deep aponeurosis of the flexor carpi ulnaris as a potential site for constriction of the ulnar nerve. The ulnar nerve passes through this aponeurosis approximately 5 cm distal to the medial epicondyle and 2 to 3 cm distal to the cubital tunnel. In two cases of isolated compression at this level, local decompression was successful in relieving the symptoms of ulnar nerve compression. Submuscular transposition is also effective because it places the ulnar nerve deep to this aponeurosis throughout its entire course.

摘要

一项针对8名患者和20条尸体上肢的研究确定,尺侧腕屈肌的深层腱膜是尺神经受压的一个潜在部位。尺神经在内侧髁远端约5厘米处、肘管远端2至3厘米处穿过该腱膜。在两例该水平孤立性压迫的病例中,局部减压成功缓解了尺神经受压症状。肌下转位术也有效,因为它使尺神经在其整个行程中都位于该腱膜的深层。

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