Latil F, Magalon G, Decaillet J M, Bureau H
Sem Hop. 1982 May 6;58(18):1113-7.
The authors have reviewed 37 operated cases of ulnar nerve compression, on the level of the elbow and the wrist, with a minimum follow-up of one year. Traumatic etiologies are more common on these two levels. The authors find 32% of pure entrapment syndromes at the elbow, whereas this phenomenon does not seem to exist at the Guyon's loge. Mac Gowan's classification was used to range the patients in three degrees, according to the importance of the palsy before operation. Surgical treatment was is all cases, at least decompression. At the elbow was added anterior transposition of ulnar nerve beneath epitrochleal muscles or beneath the skin. Considering the results, these lesions are all the more severe, as they are higher (elbow) and more advanced.
作者回顾了37例尺神经在肘部和腕部受压且接受手术治疗的病例,最短随访时间为1年。创伤性病因在这两个部位更为常见。作者发现肘部有32%的单纯卡压综合征,而在Guyon管似乎不存在这种现象。根据术前麻痹的严重程度,采用Mac Gowan分类法将患者分为三度。所有病例均采用手术治疗,至少进行减压。在肘部,还增加了尺神经在肱肌下或皮下的前置术。考虑到结果,这些损伤部位越高(肘部)且病情越严重,损伤就越严重。