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[自行车骑行者尺神经麻痹]

[Bicycle rider's ulnar nerve paralysis].

作者信息

Woischneck D, Hussein S, Höllerhage H G

机构信息

Neurochirurgische Klinik, Medizinischen Hochschule Hannover.

出版信息

Neurochirurgia (Stuttg). 1993 Jan;36(1):11-3. doi: 10.1055/s-2008-1052283.

Abstract

The ulnar neuropathy in bicycle riders is a less common occurrence, due to a local damage of the nerve on the level of the ulnar tunnel. It has been described in neurological literature only a few times, and hence its good prognosis is not sufficiently known. Within a short time two patients of this disease were transferred to our clinic for operation. After a local space-occupying growth in the tunnel could be excluded by MR or sonography of the wrist, we discouraged performance of an operative procedure. The patients' complaints and the neurological deficits vanished in a few weeks. Ulnar neuropathy in bicycle riders is therefore a syndrome for which even in the case of severe deficit an operation is not recommended.

摘要

自行车骑行者的尺神经病变较为少见,是由于尺神经在尺管水平受到局部损伤所致。神经学文献中对此仅有过几次描述,因此其良好的预后并不为人熟知。短时间内,两名患有此病的患者被转至我们诊所准备手术。通过手腕的磁共振成像(MR)或超声检查排除了尺管内局部占位性病变后,我们不主张进行手术。患者的症状及神经功能缺损在几周内消失。因此,自行车骑行者的尺神经病变是一种即便出现严重功能缺损也不建议手术的综合征。

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