Assmus H
Neurochirurgia (Stuttg). 1984 Nov;27(6):181-5. doi: 10.1055/s-2008-1054216.
A follow-up study of 108 cases of cubital tunnel syndrome and tardy ulnar palsy, treated by simple decompression without transposition of the ulnar nerve is presented. Division and resection of the fibrous arch between the two heads of the flexor carpi ulnaris proved to be an efficacious and entirely satisfactory substitute for the more complicated and extensive procedure of volar transposition of the ulnar nerve not only for the cubital tunnel syndrome but also for tardy ulnar palsy and luxation of the ulnar nerve. Only in cases of severe cubitus valgus deformation of the elbow joint is primary transposition of the nerve recommended. Surgical decompression should be done early to get a more complete recovery in a greater number of patients.
本文介绍了对108例肘管综合征和迟发性尺神经麻痹患者进行的随访研究，这些患者采用单纯减压术治疗，未进行尺神经转位。事实证明，切开并切除尺侧腕屈肌两头之间的纤维弓，对于尺神经掌侧转位这种更复杂、更广泛的手术来说，是一种有效且完全令人满意的替代方法，不仅适用于肘管综合征，也适用于迟发性尺神经麻痹和尺神经脱位。仅在肘关节严重肘外翻畸形的情况下，才建议进行神经一期转位。应尽早进行手术减压，以使更多患者获得更完全的恢复。
