与血管炎继发的桡神经局部受压相关的骨间后神经麻痹

Posterior interosseous nerve paralysis related to focal radial nerve constriction secondary to vasculitis.

作者信息

Hashizume H, Inoue H, Nagashima K, Hamaya K

机构信息

Department of Orthopaedic Surgery, Okayama University Medical School, Japan.

出版信息

J Hand Surg Br. 1993 Dec;18(6):757-60. doi: 10.1016/0266-7681(93)90239-c.

DOI:10.1016/0266-7681(93)90239-c

PMID:8308437

Abstract

A case of posterior interosseous nerve paralysis is reported with discussion of some characteristics that appear to distinguish it from entrapment neuropathy and neuralgic amyotrophy. The surgical implications are also discussed. More than ten similar cases have been reported, but the pathogenesis of this condition is still controversial. The patient presented with posterior interosseous nerve paralysis related to focal radial nerve constriction secondary to vasculitis in the perineurium. The constriction site was resected and the radial nerve was sutured. The patient recovered completely after 8 months.

摘要

报告了一例骨间后神经麻痹病例，并讨论了一些似乎可将其与卡压性神经病和神经性肌萎缩相区分的特征。还讨论了手术意义。已报告了十多例类似病例，但这种疾病的发病机制仍存在争议。该患者出现骨间后神经麻痹，与神经束膜血管炎继发的桡神经局灶性受压有关。切除了受压部位并缝合了桡神经。患者在8个月后完全康复。