動(dòng)態(tài)超聲診斷肱三頭肌彈響綜合征1例
發(fā)布時(shí)間:2018-04-28 03:29
本文選題:肘關(guān)節(jié)伸直位 + 尺神經(jīng)溝; 參考:《中國(guó)超聲醫(yī)學(xué)雜志》2017年09期
【摘要】:正患者男,26歲。主因"雙肘關(guān)節(jié)活動(dòng)彈響疼痛7年余"就診;颊7年前無明顯誘因出現(xiàn)雙肘關(guān)節(jié)屈肘時(shí)彈響,伴疼痛,無神經(jīng)放射痛,近年來加重。?撇轶w:雙肘關(guān)節(jié)未見明顯畸形,肘關(guān)節(jié)活動(dòng)度正常,雙肘關(guān)節(jié)伸直位時(shí)尺神經(jīng)溝內(nèi)觸及尺神經(jīng),屈肘時(shí)尺神經(jīng)滑脫至內(nèi)側(cè)髁前側(cè),肘關(guān)節(jié)曲時(shí)彈響陽(yáng)性,伸肘功能正常。肌電圖顯示雙前臂肌及手肌神經(jīng)源性損傷。超聲檢查:肘關(guān)節(jié)伸直位靜息狀態(tài)下,尺神經(jīng)位于尺神經(jīng)溝內(nèi),可見局限增粗,粗約0.22cm,橫
[Abstract]:The patient is 26 years old. The main reason is "double elbow joint movement bounce pain more than 7 years" see a doctor. The patient had no obvious inducement to bounce at elbow flexion 7 years ago, accompanied with pain and no neuroradialgia, which had been aggravated in recent years. Special physical examination: no obvious deformity was found in the double elbows, the movement of the elbows was normal, the ulnar nerve was touched in the sulcus of the ulnar nerve in the extension position of the two elbows, the ulnar nerve slipped to the anterior side of the medial condyle during elbow flexion, the elastic sound was positive when the elbow joint was bent, and the elbow extension function was normal. Electromyography showed neurogenic injury of both forearm and hand muscles. Ultrasonic examination: the ulnar nerve was located in the sulcus of ulnar nerve in the resting state of extension of elbow joint, and it could be seen that the ulnar nerve was thickened, about 0.22 cm thick, and transverse.
【作者單位】: 北京積水潭醫(yī)院超聲診斷科;
【分類號(hào)】:R445.1;R688
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本文編號(hào):1813567
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