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骨内神经移位术治疗疼痛性神经瘤

Intraosseous nerve transposition for treatment of painful neuromas.

作者信息

Goldstein S A, Sturim H S

出版信息

J Hand Surg Am. 1985 Mar;10(2):270-4. doi: 10.1016/s0363-5023(85)80120-9.

DOI:10.1016/s0363-5023(85)80120-9
PMID:3980943
Abstract

Symptomatic painful neuromas of the sensory nerves are a frequent cause of major impairment of the hand. Numerous techniques and measures have been used for managing this challenging problem. Boldrey first advocated a technique in 1943 in which the nerve end was transposed and implanted into bone and reported the successful use of this method in one patient. In 1981, Hemmy used a similar technique in five patients with no recurrence of pain. To date, no other studies that used this method have been reported. We performed intraosseous transposition of 23 painful neuromas in the hand of 11 patients and were successful in 10 cases.

摘要

感觉神经的症状性疼痛性神经瘤是手部严重功能障碍的常见原因。已经采用了许多技术和措施来处理这个具有挑战性的问题。1943年,博尔德雷首次倡导了一种技术,即将神经末端移位并植入骨内,并报告了该方法在一名患者中的成功应用。1981年,赫米在五名患者中使用了类似技术,疼痛未复发。迄今为止,尚未有其他使用该方法的研究报告。我们对11例患者手部的23个疼痛性神经瘤进行了骨内移位,10例获得成功。

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