ULNAR NERVE COMPRESSION AT THE ARCH OF ORIGIN OF THE ADDUCTOR POLLICIS MUSCLE

被引：7

作者：

RUDER, JR ^{[1
]}

WOOD, VE ^{[1
]}

机构：

[1] LOMA LINDA UNIV,SCH MED,MED CTR,DEPT ORTHOPAED SURG,11234 ANDERSON ST,A519,LOMA LINDA,CA 92350

来源：

JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1993年 / 18A卷 / 05期

关键词：

D O I：

10.1016/0363-5023(93)90062-8

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：

The motor branch of the ulnar nerve can be compressed by the arch of origin of the adductor pollicis muscle. There can be a well-defined band of tissue either at the point where the nerve crosses the third metacarpal or where it penetrates the adductor muscle. In over half of the cadaver hands studied no arch was demonstrated. Clinically these patients present with obvious atrophy of the first dorsal interosseous and adductor muscle. Usually pain is not a prominent symptom. This type of ulnar nerve compression neuropathy is present in less than 1% of those ulnar neuropathies that occur at the wrist and hand.

引用

页码：893 / 895

页数：3

共 13 条

[1]

Domljan, Canalicular pain syndromes in the upper extremities, Lijec Vjesn, 91, pp. 959-970, (1969)

[2]

Eversmann, Entrapment and compression neuropathies, Operative hand surgery, pp. 1441-1454, (1988)

[3]

Shea, McClain, Ulnar-nerve compression syndromes at and below the wrist, J Bone Joint Surg, 51 A, pp. 1095-1103, (1969)

[4]

Milek, Thompson, Compression of the deep branch of the ulnar nerve at the adductor hiatus producing pain without muscle atrophy, J Hand Surg, 13 A, pp. 283-286, (1988)

[5]

McDowell, Henceroth, Compression of the ulnar nerve in the hand by a ganglion, J Bone Joint Surg, 59 A, (1977)

[6]

Comtet, Quicot, Moyen, Compression of the deep palmar branch of the ulnar nerve by the arch of the adductor pollicis, Hand, 10, pp. 176-180, (1978)

[7]

Pecina, Krmpotic-Nemanic, Markiewitz, Syndrome of the tendinous arch of the adductor pollicis muscle. (Syndrome of the terminal part of the deep branch of the ulnar nerve), Tunnel syndromes, pp. 77-78, (1991)

[8]

Kaplan, Functional and surgical anatomy of the hand, pp. 244-246, (1965)

[9]

Commandre, Pathologie abarticulaire, (1977)

[10]

Noth, Dietz, Mauritz, Cyclist's palsy: neurological and EMG study in 4 cases with distal ulnar lesions, J Neurol Sci, 47, pp. 111-116, (1980)

← 1 2 →