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[桡神经后支受压。某些麻痹和某些难治性肱骨外上髁炎的不明病因]

[Compression of the posterior branch of the radial nerve. An unknown etiology of certain paralysis and certain refractory epicondylalgies].

作者信息

Comtet J J, Chambaud D, Généty J

出版信息

Nouv Presse Med. 1976 Apr 24;5(17):1111-4.

PMID:934825
Abstract

In certain circumstances, compression of the posterior branch of the radial nerve (posterior interosseous nerve) may be caused either by transverse fibrous bands in front of the articular capsule of the elbow, by the anterior border of the 2nd radial, by Frohse's lugament or by the superficial part of supinator brevis. Such problems may be accentuated by repeated dorsal flexion movements of the wrist, with hyperextension of the elbow and above all in prosupination. Clinically, they may result in either complete paralysis (2 cases), or in a syndrome of refractory epicondylar pain with nerve involvement (4 cases). The approach described by the authors permits complete exploration of all the potential points of compression and good results were obtained in the five patients who underwent surgery.

摘要

在某些情况下,桡神经后支(骨间后神经)受压可能是由肘部关节囊前方的横向纤维带、第二桡骨的前缘、弗罗泽韧带或旋前圆肌浅层引起的。手腕反复背屈、肘部过度伸展,尤其是旋前时,这些问题可能会加重。临床上,可能导致完全麻痹(2例),或伴有神经受累的难治性上髁疼痛综合征(4例)。作者描述的手术方法能够完全探查所有可能的受压点,接受手术的5例患者均取得了良好效果。

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