MEDIAL EPICONDYLECTOMY FOR THE TREATMENT OF ULNAR NERVE COMPRESSION AT THE ELBOW

被引:70
作者
HEITHOFF, SJ [1 ]
MILLENDER, LH [1 ]
NALEBUFF, EA [1 ]
PETRUSKA, AJ [1 ]
机构
[1] TUFTS UNIV,SCH MED,DEPT ORTHOPED SURG,BOSTON,MA 02111
来源
JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1990年 / 15A卷 / 01期
关键词
D O I
10.1016/S0363-5023(09)91100-5
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Decompression of the ulnar nerve at the elbow with medial epicondylectomy was done in 43 patients and reviewed with an average follow-up of 2.3 years. Eight were graded as excellent, 23 as good, 9 as fair, and 3 as poor results. A special emphasis was placed on analysis of the potential disadvantages of medial epicondylectomy including bone tenderness at the osteotomy site, vulnerability of the ulnar nerve, ulnar collateral ligament instability, and weakness from disruption of the flexor pronator origin. Clinical assessment of strength including quantitative measurement of pinch strength, grip strength and endurance, and testing of forearm muscles did not show these potential disadvantages to be significant problems. © 1990, American Society for Surgery of the Hand. All rights reserved.
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页码:22 / 29
页数:8
相关论文
共 34 条
[1]  
Dawson DM, Hallet M, Millender LH, Entrapment neuropathies, (1983)
[2]  
Feindel W, Stratford J, Cubital tunnel compression in tardy ulnar palsy, Can Med Assoc J, 78, pp. 351-353, (1958)
[3]  
Feindel W, Strafford J, The role of the cubital tunnel in tardy ulnar palsy, Can J Surg, 1, pp. 287-300, (1958)
[4]  
Wilson DH, Krout R, Surgery of ulnar neuropathy at the elbow
[5]  
16 cases treated by decompression without transposition, J Neurosurg, 38, pp. 780-785, (1973)
[6]  
Thomsen PB, Compression neuritis of the ulnar nerve treated with simple decompression, Acta Orthop Scand, 48, pp. 164-167, (1977)
[7]  
Osborne GV, The surgical treatment of tardy ulnar neuritis In: Proceedings and reports of councils and associations, J Bone Joint Surg, 39 B, (1975)
[8]  
Osborne G, Compression neuritis of the ulnar nerve at the elbow, The Hand, 2, pp. 10-13, (1970)
[9]  
Vanderpool DW, Edinburgh JC, Lamb DW, Et al., Peripheral compression lesions of the ulnar nerve, J Bone Joint Surg, 50 B, pp. 792-803, (1968)
[10]  
Jenson E, Ulnar perineuritis, Acta Psychiat Scand, 34, pp. 205-221, (1958)