Flory P J, Berger A
Handchir Mikrochir Plast Chir. 1985 Sep;17(5):270-2.
The pronator syndrome is caused by a compression of the median nerve at the level of the elbow. In the case presented bizonal compression of the nerve was seen, first by the lacertus fibrosus, second by an isolated abnormal tendon of the brachialis muscle. The treatment, therefore, includes the early and extensive operative exploration of the nerve, the resection of all compressive structures and sometimes interfascicular neurolysis and transposition of the nerve anterior to the pronator teres, when the nerve is in a badly scarred bed.
旋前圆肌综合征是由肘部水平的正中神经受压引起的。在该病例中，发现神经存在双区受压，首先是被肱二头肌腱膜压迫，其次是被肱肌的一条孤立异常肌腱压迫。因此，治疗包括早期对神经进行广泛的手术探查，切除所有压迫结构，当神经处于严重瘢痕化的组织床时，有时还需进行束间神经松解并将神经移位至旋前圆肌前方。
