1. The major etiology of cubital tunnel syndrome is chronic injury with sustained compression of ulnar nerve around elbow joint.
结论]肘部的创伤及慢性劳损可以导致肘管弓状韧带出现肥厚增生,引起尺神经卡压磨损,这是肘管综合征最常见的病因;其他病因还包括慢性骨关节炎,占位病变和先天异常;尺神经可被机械性卡压和磨损,出现慢性缺血缺氧,导致肘管综合征的发生;详细的体格检查和术前的肌电图检查是诊断肘管综合征的主要手段,在诊断时应注意该病与其他部位迟发性尺神经麻痹的鉴别。
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2. Operative electromyogram.[Conclusion]The major etiology of cubital tunnel syndrome is chronic injury with sustained compression of ulnar nerve around elbow joint. Careful physical examination of ulnar nerve function and pre? ?operative electromyogram will help us to diagnose the cubital tunnel syndrome. Cubital tunnel syndrome should be differentiated from tardy ulnar nerve palsy of other sites. Key words:cubital tunnel; ulnar nerve; arcuate ligament
结论]肘部的创伤及慢性劳损可以导致肘管弓状韧带出现肥厚增生,引起尺神经卡压磨损,这是肘管综合征最常见的病因;其他病因还包括慢性骨关节炎,占位病变和先天异常;尺神经可被机械性卡压和磨损,出现慢性缺血缺氧,导致肘管综合征的发生;详细的体格检查和术前的肌电图检查是诊断肘管综合征的主要手段,在诊断时应注意该病与其他部位迟发性尺神经麻痹的鉴别。
3. Results 7 ulnars were extended by 1.5~5.3 cm. The dislocation of radius head was spontaneous reduced, and deformities of hand varus and cubitus varus were remarkable alleviated. At the same time, cubital joint flection and forearm rotation function were improved.
结果7例尺骨分别延长1.5~5.3cm,脱位桡骨小头自行复位,手内翻和肘内翻畸形明显减轻,肘关节屈伸和前臂旋转功能亦有改善。
4. In Y-shaped plate group, fractures healed well in all cases, with cubital joint stiffness in 2 cases.
Y型钢板内固定组全部愈合,伴肘关节僵硬2例。
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5. Conclusion]The major etiology of cubital tunnel syndrome is chronic injury with sustained compression of ulnar nerve around elbow joint. Careful physical examination of ulnar nerve function and preoperative electromyogram will help us to diagnose the cubital tunnel syndrome. Cubital tunnel syndrome should be differentiated from tardy ulnar nerve palsy of other sites. Key words:cubital tunnel; ulnar nerve; arcuate ligament
结论]肘部的创伤及慢性劳损可以导致肘管弓状韧带出现肥厚增生,引起尺神经卡压磨损,这是肘管综合征最常见的病因;其他病因还包括慢性骨关节炎,占位病变和先天异常;尺神经可被机械性卡压和磨损,出现慢性缺血缺氧,导致肘管综合征的发生;详细的体格检查和术前的肌电图检查是诊断肘管综合征的主要手段,在诊断时应注意该病与其他部位迟发性尺神经麻痹的鉴别。