west china medical publishers
Keyword
  • Title
  • Author
  • Keyword
  • Abstract
Advance search
Advance search

Search

find Keyword "尺神经深支损伤" 2 results
  • ANATOMIC STUDY ON INJURY OF SIMPLE DEEP BRANCH OF ULNAR NERVE

    Objective To provide anatomy evidence of the simple injury of the deep branch of the unlar nerve for cl inical diagnosis and treatments. Methods Fifteen fresh samples of voluntary intact amputated forearms with no deformity were observed anatomically, which were mutilated from the distal end of forearm. The midpoint of the forth palm fingerweb wasdefined as dot A , the midpoint of the hook of the hamate bone as dot B, the ulnar margin of the flexor digitorum superficial is of the l ittle finger as OD, and the superficial branch of the unlar nerve and the forth common finger digital nerve as OE, dot O was the vertex of the triangle, dot C was intersection point of a vertical l ine passing dot B toward OE; dot F was the intersection point of CB’s extension l ine and OD. OCF formed a triangle. OCF and the deep branch of the unlar nerve were observed. From May 2000 to June 2007, 3 cases were treated which were all simple injury of the deep branch of the unlar nerve by glass, diagnosed through anatomical observations. The wounds were all located in the hypothenar muscles, and passed through the distal end of the hamate bone. Muscle power controlled by the unlar nerve got lower. The double ends was sewed up in 2 cases directly intra operation, and the superficial branch of radial nerve grafted freely in the other 1 case. Results The distance between dot B and dot O was (19.20 ± 1.30) mm. The length of BC was (7.80 ± 1.35) mm. The morpha of OCF was various, and the route of profundus nervi ulnaris was various in OCF. OCF contains opponens canales mainly. The muscle branch of the hypothenar muscles all send out in front of the opponens canales. The wounds of these 3 cases were all located at the distal end of the hook of the hamate bone, intrinsic muscles controlled by the unlar nerve except hypothenar muscles were restricted without sensory disorder or any other injuries. Three cases were followed up for 2 months to 4 years. Postoperation, the symptoms disappeared, holding power got well, patients’ fingers were nimble. According to the trial standard of the function of the upper l imb peripheral nerve establ ished by Chinese Medieal Surgery of the Hand Association, the synthetical evaluations were excellent.Conclusion Simple injuries of the deep branch of the unlar nerve are all located in OCF; it is not easy to be diagnosed at the early time because of the l ittle wounds, the function of the hypothenar muscles in existence and the normal sense .

    Release date:2016-08-31 05:47 Export PDF Favorites Scan
  • 桡骨远端骨折合并腕部尺神经损伤六例分析

    目的 总结桡骨远端骨折合并尺神经损伤的临床特点、治疗方法及预后。 方法 分析2002 年8 月- 2008 年8 月收治的6 例合并尺神经损伤的桡骨远端骨折患者临床资料。男4 例,女2 例;年龄21 ~ 55 岁,平均39岁。新鲜骨折4 例,其中开放骨折1 例;陈旧性骨折2 例。骨折类型按国际内固定研究学会(AO/ASIF)分型:A3 型2 例,B2、B3、C2、C3 型各1 例。6 例均有尺神经卡压和损伤表现。受伤至治疗时间3 h ~ 3.5 个月。分别给予切开复位钢板螺钉内固定、切开复位克氏针内固定加外固定架固定、闭合复位外固定架固定治疗。 结果 术后6 例均获随访,随访时间12 ~ 24 个月,平均18 个月。按中华医学会手外科学会上肢部分功能评定试用标准评定,获优5 例,可1 例。术后X 线片显示骨折对位良好,术后4 ~ 5 个月桡骨远端骨折均骨性愈合。随访期间无内固定物松动及骨折移位等并发症发生。除1 例陈旧性骨折手内在肌萎缩、运动功能恢复不明显外,余5 例尺神经感觉、运动功能均恢复较理想,爪形手畸形消失。 结论 合并尺神经损伤的桡骨远端骨折,开放手术时应行尺神经探查减压术,如未行探查手术应密切观察其病情变化。

    Release date:2016-08-31 05:47 Export PDF Favorites Scan
1 pages Previous 1 Next

Format

Content