Dellon A L
J Hand Surg Am. 1985 Jul;10(4):527-33. doi: 10.1016/s0363-5023(85)80077-0.
Chronic dorsal wrist pain limits hand function. This article details preoperative diagnostic nerve block and patient selection criteria, operative technique for partial dorsal wrist denervation, and results of nonoperative as well as operative treatment for pain transmitted via the distal posterior interosseous nerve. More than 90% of the patients treated with the partial dorsal wrist denervation procedure achieved subjective relief of pain and objective improvement in wrist function, with 83% returning to work. Function did not improve in the group with fractures associated with reflex sympathetic dystrophy, and three of the four patients with rotary subluxation of the scaphoid subsequently required wrist fusion.
慢性腕背疼痛会限制手部功能。本文详细介绍了术前诊断性神经阻滞及患者选择标准、腕背部分去神经术的手术技巧，以及通过骨间后神经远端传导的疼痛的非手术和手术治疗结果。接受腕背部分去神经术治疗的患者中，超过90%实现了疼痛的主观缓解和腕部功能的客观改善，83%的患者恢复了工作。伴有反射性交感神经营养不良的骨折组患者功能未改善，舟骨旋转半脱位的4例患者中有3例随后需要进行腕关节融合术。
