Mooij J J
Acta Neurochir (Wien). 1982;64(1-2):75-85. doi: 10.1007/BF01405621.
A retrospective study is presented of 39 patients with ulnar nerve pathology at the elbow. All patients were treated by anterior transposition. Improvement to at least good functional recovery occurred in 46% of the patients. In the other 54% there was only slight or no improvement, or even deterioration. A further analysis of the results showed that in patients with objective signs of ulnar pathology, but without muscular atrophy, the results were good: 64% of these patients showed a good operative result. The most important factors in postoperative prognosis in the patients studied are the existence of muscular atrophy, age, and, in the moderately severe group, the length of history before operation. The aetiology was not important with respect to the outcome. On the basis of the recent literature and the results of this study suggestions are presented for a rational choice between the different possibilities of treatment for ulnar nerve pathology at the elbow.
本文对39例肘部尺神经病变患者进行了回顾性研究。所有患者均接受了前路转位治疗。46%的患者功能恢复至少达到良好。另外54%的患者仅有轻微改善或无改善，甚至病情恶化。对结果的进一步分析表明，有尺神经病变客观体征但无肌肉萎缩的患者，治疗效果良好：这些患者中有64%手术效果良好。在所研究的患者中，术后预后的最重要因素是肌肉萎缩的存在、年龄，以及在中度严重组中术前病程的长短。病因对治疗结果并不重要。基于近期文献和本研究结果，针对肘部尺神经病变不同治疗可能性的合理选择提出了建议。
