Surgical treatment of painful neuroma in medial antebrachial cutaneous nerve
Surgical treatment of painful neuroma in medial antebrachial cutaneous nerve
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DOI：
10.1097/00000637-200202000-00007
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发表时间：
2002-02-01
影响因子：
1.5
通讯作者：
Rosenberg, N
中科院分区：
文献类型：
--
作者：
Stahl, S;Rosenberg, N
臂前内侧皮神经（MACN）的分支位于肘关节内侧。在肘管手术或其他肘关节内侧入路时，MACN，尤其是后支可能会受伤或横断。神经损伤可引起神经瘤，从而导致致残性疼痛和肘部活动受限。神经瘤的初始治疗是非手术治疗，包括局部按摩、脱敏、物理治疗和全身药物治疗。如果这些非手术治疗6个月后没有改善，则需要手术治疗。作者报告了他们对12例疼痛性神经瘤手术治疗的经验，通过近端高位切除或植入肱三头肌。术后疼痛缓解成功率高，肘部运动和握力功能均有改善。
The branches of the medial antebrachial cutaneous nerve (MACN) are located at the medial site of the elbow. The MACN, especially the posterior branches, may be injured or transected during cubital tunnel surgery or other medial approaches to the elbow. Damage to the nerve can cause a neuroma, which leads to disabling pain and restriction of elbow movement. The initial treatment of the neuroma is nonsurgical, and includes local massage, desensitization, physiotherapy, and systemic medication. If after 6 months of these nonsurgical treatments there is no improvement, surgery is indicated. The authors report their experience with 12 patients treated surgically for painful neuroma by high resection of the proximal end or its implantation into the triceps muscle. After surgery there was a high success rate of pain relief and functional improvement in both elbow movement and handgrip strength.