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腕关节去神经支配术——慢性疼痛情况下的一种替代方法。

Denervation of the wrist joint--an alternative in conditions of chronic pain.

作者信息

Röstlund T, Somnier F, Axelsson R

出版信息

Acta Orthop Scand. 1980 Aug;51(4):609-16. doi: 10.3109/17453678008990850.

DOI:10.3109/17453678008990850
PMID:7446050
Abstract

Nine patients with chronic pain in the wrist secondary to lunatomalacia and non-union of the scaphoid bone were treated by denervation of the wrist joint. This operation was first presented by Wilhelm in 1966. We have been using a modified technique. The purpose of the operation is to achieve relief of pain by selective neurotomy without impairment of hand function and with preservation of wrist mobility. Eight patients were considerably improved; one was not helped at all. No appreciable progression of the pathological changes have occurred radiographically during the period of follow-up. We find our results encouraging and the method worth trying.

摘要

9例因月骨软化症和舟状骨不愈合继发腕部慢性疼痛的患者接受了腕关节去神经支配治疗。该手术由威廉于1966年首次提出。我们一直在使用一种改良技术。该手术的目的是通过选择性神经切断术缓解疼痛,同时手术的目的是通过选择性神经切断术缓解疼痛,同时不损害手部功能并保留腕关节活动度。8例患者有明显改善;1例毫无效果。在随访期间,影像学检查未发现病理改变有明显进展。我们认为我们的结果令人鼓舞,该方法值得一试。

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1
Denervation of the wrist joint--an alternative in conditions of chronic pain.腕关节去神经支配术——慢性疼痛情况下的一种替代方法。
Acta Orthop Scand. 1980 Aug;51(4):609-16. doi: 10.3109/17453678008990850.
2
[Total denervation of the wrist. Apropos of 50 cases].[手腕完全去神经支配。关于50例病例]
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Total wrist denervation: Retrospective study of 39 wrists with 56 months' follow-up.全腕神经切断术:39 腕回顾性研究,随访 56 个月。
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Partial dorsal wrist denervation: resection of the distal posterior interosseous nerve.腕背部分去神经支配:切除骨间后神经远端。
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Denervation of the wrist joint.腕关节去神经支配术。
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引用本文的文献

1
Does anterior plus posterior interosseus neurectomy lead to better outcomes than isolated posterior interosseus denervation in the treatment of chronic wrist pain? A systematic review of the literature and meta-analysis.在治疗慢性腕部疼痛方面,前路加骨间后神经切除术是否比单纯骨间后神经去神经术能带来更好的效果?一项文献系统综述和荟萃分析。
EFORT Open Rev. 2023 Mar 14;8(3):110-116. doi: 10.1530/EOR-22-0089.
2
Buying Time: Long-Term Results of Wrist Denervation and Time to Repeat Surgery.争取时间:腕部去神经支配的长期结果及再次手术时间
Hand (N Y). 2019 Sep;14(5):602-608. doi: 10.1177/1558944718760031. Epub 2018 Mar 5.
3
[Long-term results following denervation of the wrist].
[腕部去神经支配后的长期结果]
Unfallchirurg. 2012 Apr;115(4):343-52. doi: 10.1007/s00113-011-2131-6.
4
Anterior and posterior interosseous neurectomy for the treatment of chronic dynamic instability of the wrist.骨间前神经和骨间后神经切除术治疗腕关节慢性动态不稳定
Hand (N Y). 2006 Dec;1(2):63-70. doi: 10.1007/s11552-006-9003-5.
5
Patellar pain treated by neurotomy.经神经切断术治疗的髌疼痛
Arch Orthop Trauma Surg (1978). 1984;103(2):137-9. doi: 10.1007/BF00389588.