训练伤性肘管综合征的诊断与治疗

目的研究训练伤性肘管综合征的诊断及显微外科治疗效果。方法显微镜下神经外膜或内膜松解,将尺神经前置并埋于前臂屈肌群内,神经入出口处保持一定宽松度,术后用石膏托将肘关节固定于45°屈肘位。结果随访时间为6￣24个月。手术部位皮下未扪及神经,叩击无放电感,明显肌肉萎缩者症状无加重,爪形手畸形有所恢复;轻度肌肉萎缩者肌力明显改善,无肌肉萎缩者手部活动灵活度功能恢复,尺侧手指皮肤感觉异常消失。结论显微外科神经松解并将其前置埋于肌膜下是治疗肘管综合征的有效方法。

The diagnosis and microsurgery treatment of cubital tunnel syndrome induced by training injury

Objective To study diagnosis and treatment effects of microsurgery on cubital tunnel syndrome after training injury. Methods Authors used neurolysis and neurosarcocleisis under microscope to treat ulnar nerve compression syndrome, the nerve's entranc and exit must be keep loosen. The elbow joint was fixed to bend at 45 degrees by gypsum after operation. Results The follow-up period was 6-24 months. Authors could not touch the ulnar nerve of subcutaneous part. There were not electricity feeling after palator...