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前臂筋膜导致正中神经掌皮支压迫性神经病变。

Compression neuropathy of the palmar cutaneous branch of the median nerve by the antebrachial fascia.

作者信息

Semer N, Crimmins C, Jones N F

机构信息

Division of Plastic Surgery, University of California, Los Angeles, USA.

出版信息

J Hand Surg Br. 1996 Oct;21(5):666-7. doi: 10.1016/s0266-7681(96)80156-2.

DOI:10.1016/s0266-7681(96)80156-2
PMID:9230959
Abstract

An isolated compression neuropathy of the palmar cutaneous branch of the median nerve is described in a woman who presented with a small tender mass over the anterior aspect of her distal forearm and complete numbness over the thenar eminence. Surgical exploration revealed thickening of the palmar cutaneous nerve as it passed upwards through the antebrachial fascia on the ulnar aspect of the flexor carpi radialis tendon. Neurolysis of two separate fascicles of the palmar cutaneous branch of the median nerve and excision of a window of antebrachial fascia resulted in complete return of sensation over the thenar eminence.

摘要

一名女性患者被描述为患有正中神经掌皮支孤立性压迫性神经病变,其表现为前臂远端前侧有一个小的压痛性肿块,鱼际隆起处完全麻木。手术探查发现,掌皮神经在桡侧腕屈肌腱尺侧向上穿过前臂筋膜时增厚。对正中神经掌皮支的两个独立束进行神经松解,并切除前臂筋膜的一个窗口,结果鱼际隆起处的感觉完全恢复。

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