Macnicol M F
J Bone Joint Surg Br. 1979 May;61-B(2):159-64. doi: 10.1302/0301-620X.61B2.438266.
The records of 110 cases of ulnar neuritis in 100 patients have been reviewed an average of 4.4 years after anterior transposition, or release of the aponeurosis. Seventy of the patients were reviewed personally. In over half the cases no precipitating cause was apparent. At operation the nerve was constricted by the flexor carpi ulnaris aponeurosis in fifty cases but in twenty-five no abnormal pathology was found. Recovery was greatest when operation was performed within three months of the onset of symptoms. In those cases where no abnormality was found, and those in which adhesions in the postcondylar groove involved the nerve, simple release was less effective than anterior transposition. It is therefore recommended that release be restricted to patients with a short history and with an obvious aponeurotic constriction unaccompanied by adhesions. Anterior transposition is the operation of choice where no abnormality is seen or where the nerve is dislocated, compressed or tethered proximal to the aponeurosis of flexor carpi ulnaris.
对100例患者的110例尺神经炎病例记录进行了回顾，这些病例在前臂移位或腱膜松解术后平均4.4年。其中70例患者接受了亲自复查。超过半数的病例未发现明显的诱发原因。手术中，50例患者的神经被尺侧腕屈肌腱膜压迫，25例未发现异常病理改变。症状出现后三个月内进行手术，恢复情况最佳。在那些未发现异常的病例以及髁后沟粘连累及神经的病例中，单纯松解术的效果不如前臂移位术。因此，建议松解术仅限于病史较短且有明显腱膜压迫且无粘连的患者。当未发现异常或神经在尺侧腕屈肌腱膜近端脱位、受压或受束缚时，前臂移位术是首选手术方式。
