Non-traumatic paralysis of the posterior interosseous nerve
Non-traumatic paralysis of the posterior interosseous nerve
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DOI：
10.1302/0301-620x.78b5.0780771
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发表时间：
1996-09-01
影响因子：
--
通讯作者：
Morito, Y
中科院分区：
文献类型：
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作者：
Hashizume, H;Nishida, K;Morito, Y
我们治疗了 31 例非外伤性骨间后神经麻痹患者超过 15 年，其中男性 10 例，女性 21 例，平均年龄 40.3 岁（17 至 71 岁），保守治疗 6 例，手术治疗 25 例，14 例患者发生旋后肌卡压，其中 3 例在肌肉入口和出口均受到双重压迫。 4 例由神经节引起，1 例由脂肪瘤引起，1 例由桡骨头脱臼引起，2 例由原因不明的神经明显收缩引起，其余 3 例患者仅回顾性诊断为神经痛性肌萎缩症，手术时唯一观察到的变化是神经轻微水肿。25 例患者中，24 例在术后 2 至 18 个月（平均 5.6 个月）恢复瘫痪，其中一次失败后来通过肌腱转移得到了治疗。
We treated 31 patients with non-traumatic paralysis of the posterior interosseous nerve over 15 years, There were 10 men and 21 women of mean age 40.3 years (17 to 71), Six were managed conservatively, and 25 by operation,In 14 patients entrapment occurred at the supinator, including three who had double compression at both the entrance and exit from the muscle. In four it was caused by a ganglion, in one by a lipoma, in one by a dislocated radial head and in two by a marked constriction in the nerve of unknown cause, The remaining three patients mere retrospectively diagnosed as having neuralgic amyotrophy, the only observable change at operation being slight oedema of the nerve,Paralysis recovered in 24 out of the 25 patients at between 2 to 18 months (mean 5.6) after operation, and the one failure was treated later by tendon transfer.