PALMARIS BREVIS TURNOVER FLAP AS AN ADJUNCT TO INTERNAL NEUROLYSIS OF THE CHRONICALLY SCARRED MEDIAN NERVE IN RECURRENT CARPAL-TUNNEL SYNDROME

被引：71

作者：

ROSE, EH

NORRIS, MS

KOWALSKI, TA

LUCAS, A

FLEGLER, EJ

机构：

[1] Division of Plastic and Reconstructive Surgery, Mount Sinai School of Medicine, New York, New York

[2] Division of Plastic and Reconstructive Surgery, Stanford University School of Medicine, Stanford, California

[3] Division Occupational Therapy, Peninsula Hospital, Burlingame, California

[4] Section Hand Surgery, Department of Plastic and Reconstructive Surgery, Cleveland Clinic Foundation, Cleveland, Ohio

来源：

JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1991年 / 16A卷 / 02期

关键词：

D O I：

10.1016/S0363-5023(10)80096-6

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：

Thirteen hands in 11 patients with previous carpal tunnel releases were treated by microscopic internal neurolysis and palmaris brevis "turnover" flaps. All patients in the series had positive electrodiagnostic testing, dysesthetic wrist pain, and numbness in the median nerve distribution before operation. Average age was 41.9 years (range, 27 to 62 years). Ten were male and 3 were female. Range of follow-up after the procedure was from 1 to 1 1/2 years. All hands with abnormal preoperative two-point discriminations or Semmes-Weinstein measurements showed numerical improvement in their sensory parameters. Thenar strength and bulk improved at least one grade in all six cases of thenar atrophy. Mean grip strength was 15.2% greater than before operation. Key pinch increased 5.5% and pulp pinch 31.9%. Subjective assessment of improvement ranged from 25% to 100%. All patients returned to their former jobs or to vocational retraining except the oldest patient who is semiretired.

引用

页码：191 / 201

页数：11

共 32 条

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