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用于治疗腕管综合征继发严重大鱼际萎缩的卡米茨掌长肌外展成形术

Camitz palmaris longus abductorplasty for severe thenar atrophy secondary to carpal tunnel syndrome.

作者信息

Terrono A L, Rose J H, Mulroy J, Millender L H

机构信息

New England Baptist Hospital, Tufts University School of Medicine, Boston, MA.

出版信息

J Hand Surg Am. 1993 Mar;18(2):204-6. doi: 10.1016/0363-5023(93)90346-5.

DOI:10.1016/0363-5023(93)90346-5
PMID:8463579
Abstract

This is a retrospective review of 29 patients (33 hands) who underwent a palmaris longus transfer because of severe thenar atrophy secondary to median nerve entrapment at the wrist. The mean follow-up was 17 months. Ninety-four percent of our patients were satisfied because their thumb function improved. Twenty-six of the patients had the transfer at the time of initial release of the carpal tunnel, and three patients had the transfer when the carpal tunnel was released a second time. The transfer helps with thumb palmar abduction, and the palmaris longus is an expendable muscle for transfer.

摘要

这是一项对29例患者(33只手)的回顾性研究,这些患者因腕部正中神经卡压继发严重大鱼际萎缩而接受掌长肌转移术。平均随访时间为17个月。94%的患者对拇指功能改善感到满意。26例患者在初次松解腕管时进行了转移术,3例患者在第二次松解腕管时进行了转移术。该转移术有助于拇指掌侧外展,且掌长肌是可用于转移的 expendable 肌肉。 (注:“expendable”直译为“可消耗的”,结合语境这里可能是指“可用于转移且不影响其他重要功能的”之类意思,具体准确含义需结合更多医学背景知识确定)

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