Proximal ulnar nerve compression. Cubital tunnel syndrome.
Proximal ulnar nerve compression. Cubital tunnel syndrome.
复制标题
尺神经近端受压。
作者：
G. Rayan
肘部周围的尺神经受压很常见。如果及早诊断和治疗，可以预期获得满意的结果。严重的慢性神经压迫可能导致永久性神经损伤。可以通过仔细询问病史、体格检查、神经解剖学知识，有时还可以通过电诊断来做出诊断。肘管综合征必须与 TOS 和尺管综合征相鉴别。应排除双重挤压综合症。必须首先尝试非手术治疗，而严重和慢性病例则需要手术治疗。如果没有神经损伤，并且仔细注意技术细节并轻柔地处理神经，手术后可以获得满意的结果。
Ulnar nerve compression about the elbow is common. If diagnosed and treated early, satisfactory results can be expected. Severe chronic nerve compression may lead to permanent nerve damage. The diagnosis can be made by careful history, physical examination, knowledge of the nerve anatomy, and sometimes electrodiagnosis. Cubital tunnel syndrome must be differentiated from TOS and ulnar tunnel syndrome. Double-crush syndrome should be ruled out. Nonoperative treatment must be attempted first, whereas surgical treatment is indicated in severe and chronic cases. Satisfactory results can be achieved after surgery if nerve damage is absent and careful attention to technical details and gentle handling of the nerve are exercised.