MEDIAN NERVE DISPLACEMENT THROUGH THE CARPAL CANAL

被引:63
作者
SZABO, RM
BAY, BK
SHARKEY, NA
GAUT, C
机构
[1] Department of Orthopaedics, University of California, Davis, School of Medicine, Davis, CA
来源
JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1994年 / 19A卷 / 06期
关键词
D O I
10.1016/0363-5023(94)90087-6
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
We determined the direct relationships between wrist position and displacement of the median nerve during active contraction of the flexor tendons at the wrist with an intact, transected transverse carpal ligament (TCL). Nine fresh cadavers were mounted in an apparatus to allow variable wrist position. Excursions of the tendons and displacement of the median nerve were measured by tracking markers with a video camera. Each limb was tested at 0 degrees, 30 degrees, and 60 degrees of wrist extension before and after release of the TCL. Excursion of the flexor tendons required for full finger flexion ranged from 2.3 to 3.1 cm (mean, 3 cm). Median nerve displacement ranged from 0.9 to 1.4 cm (mean, 1 cm). The relationship between median nerve and flexor tendon excursion was consistently linear. Finger motion alone allows Tot median nerve displacement after surgery in the carpal tunnel.
引用
收藏
页码:901 / 906
页数:6
相关论文
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