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肘部及肘部以上正中神经卡压性神经病

Entrapment neuropathies of the median nerve at and above the elbow.

作者信息

Gessini L, Jandolo B, Pietrangeli A

出版信息

Surg Neurol. 1983 Feb;19(2):112-6. doi: 10.1016/0090-3019(83)90405-6.

Abstract

Three surgically verified cases of median nerve entrapment at and above the elbow are reported: one involved a compression of the nerve beneath the Struthers ligament in absence of supracondylar bony spur, and two concerned a compression beneath the lacertus fibrosus bicipitis (aponeurosis musculi bicipitalis brachii). Of the two latter cases, the first entrapment was caused by a hematome and the second the nerve was found to be entrapped between the lactertus and an underlying hypertrophic brachial muscle. The compression mechanisms and clinical and electromyographic findings are presented.

摘要

本文报告了3例经手术证实的肘部及以上正中神经卡压病例:1例在无髁上骨质增生的情况下,神经在Struthers韧带下方受压;另外2例是在肱二头肌纤维膜(肱二头肌肌腱膜)下方受压。在后2例中,第1例卡压是由血肿引起,第2例发现神经被卡在肱二头肌纤维膜与下方肥厚的肱肌之间。文中介绍了其压迫机制以及临床和肌电图检查结果。

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