正中神经和尺神经结核一例

周围神经结核报道少见。我们临床遇到一例正中神经和尺神经结核。报告如下。病例男,29岁,1979年9月在井下作业时煤块落下砸伤左肩和左手,伤后4个月左手小指残端感觉麻木,左手逐渐出现爪形手畸形,骨间肌、小鱼际肌明     

正中神经与尺神经交通支1例报告及文献回顾

肘关节水平的尺神经损伤,常导致患者手内在肌的功能障碍。笔者遇到1例肘部尺神经沟内尺神经完全断裂的患者,手内在肌无明显功能障碍,后经肌电图检查证实此患者存在正中神经与尺神经之间的交通支,现报告如下。     

带尺血管蒂尺神经移植修复正中神经缺损一例

河北省沧州中西医结合医院骨科孙宏辉、赵建勇、许俊岭来稿 :收治1例 41岁女性患者 ,左肘部上下正中神经、尺神经缺损 12 cm及 10 cm,镜下行带尺血管蒂尺神经移植修复正中神经缺损。随访 1年 ,左正中神经恢复 M3S3水平。带血管神经移植血运好 ,有利于神经纤维的再生和生长。带尺血管蒂尺神经移植修复正中神经缺损一例     

链激酶输注后引起正中神经和尺神经损害

静脉输注链激酶可降低急性心肌梗塞的死亡率,链激酶的副作用主要是引起出血,如颅内出血、消化道出血、动脉穿刺部位出血。静脉输注链激酶外漏对局部软组织的影响尚未见报道,现报道1例患者前臂静脉输注链激酶合并严重永久性的止中神经和尺神经损害。病例报告患者女性,81岁,严重胸痛放射至左臂,心电图提示急性后壁心肌梗塞,在右前臂头静脉顺利地、无损伤地插入静脉导管。在疼痛发作后3.5小时.开始用链激酶150万单位经导管在1小时内输注,未见并发症,随之继续输注肝素,数小时后胸痛缓解,     

尺神经高位损伤低位正中神经转位修复一例

患者男，３４岁。醉酒后用手砸窗玻璃时不慎被烂玻璃刺伤右肘后及腕掌侧，出血疼痛，５个手指掌侧麻木，拇不能内收、对掌，２～４指并指、分指不能。入院后急给予清创，发现右肘后尺神经沟近端肱三头肌部分断裂，尺神经完全离断。清创后伸肘位修复肱三头肌，尺神经断裂用...     

正中神经腕部变异1例

2006年5月，我们遇到1例腕部切割伤患者，正中神经支配区的运动存在，感觉麻木但痛觉存在，而手术探查正中神经完全断裂，为一种解剖变异，经手术修复后疗效满意。     

正中神经双卡综合征1例

正中神经腕部卡压是常见的手外科疾病,以手麻、夜间麻醒史为主要临床特点,诊断比较容易。随着研究的深入,人们还发现正中神经在肘部的旋前圆肌等处的卡压,主要出现正中神经支配区的感觉和运动的功能障碍。而我们发现1例     

穿刺针移位致正中神经及尺神经损伤一例

穿刺针移位致正中神经及尺神经损伤一例张魁正患者男，１４岁，因腹痛、腹泻１周，无尿１天于１９９５年７月６日入院。体检：Ｔ３８℃，ＢＰ２１／１６ｋＰａ，神清，呼吸急促，烦燥不安，全身浮肿，双肺可闻及大量湿性罗音，心率９６次／分，律齐，未闻病理性杂音，下腹...     

Tuberculoma of the ulnar nerve: case report

A peripheral nerve tuberculoma, the third on record, involved the ulnar nerve, as did the other two. This case report is followed by a discussion of the pathogenesis and diagnosis of this lesion. Its pathogenesis is unclear. Direct infection from a tuberculous sister was disproved, and infection via a local wound is highly unlikely. A previous, silent form of tuberculosis seems to have been the cause.     

Postoperative case of late and disabling ulnar nerve palsy

The history of a fractured elbow at the age of one year followed by a disabling ulner nerve palsy at the age of forty-six years presents an unusually long symptom free period. The symptoms began with disturbed sensation, weakness, and finally atrophy, increasing in severity until they became disabling. The operation provided a new route for the ulnar nerve in front of the internal condyle. The improvement after operation was immediate and marked, so that eleven days after operation a neurological examination showed almost complete return of function in the right ulnar nerve. The end result was very satisfactory with freedom from all symptoms and recovery of his full strength and motor power. He is enjoying increased function and a larger range of motion at the elbow than at any other time during his life.     

桡骨远端及尺骨茎突骨折手法整复后尺神经卡压于尺骨茎突骨折端1例

患者,女,54岁,3个月前不慎摔倒,右腕部着地,当即出现右腕肿胀、畸形、功能受限,于当地医院拍片后诊断为“右桡骨远端骨折、右尺骨茎突骨折”,予以骨折手法整复术,石膏托外固定。2个月后去除石膏托行功能锻炼,发现右手尺侧麻木不适,右手无力伴肌萎缩,小鱼际萎缩明显,抓握无力,且症状渐进性加重。在当地医院予以神经营养药物内服治疗,     

Synovial cyst and ulnar nerve entrapment. A case report

A 77-year-old man affected by rheumatoid arthritis demonstrated clinical evidence of progressive ulnar nerve compression that proved to be caused by an extra-articular synovial cyst of the elbow. Conservative measures failed to reduce the size of the cyst or to check progress of the ulnar nerve lesion. Surgical treatment by elbow synovectomy and partial cystectomy was effective. The ulnar nerve lesion healed, and the cyst disappeared. Ulnar nerve compression by soft tissue in continuity with a rheumatoid elbow joint is very uncommon. Only one similar case was found in the English-language literature.