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首页> 外文期刊>Journal of Hand Surgery. American Volume >Intrinsic hand muscle reinnervation by median-ulnar end-to-side bridge nerve graft: case report.
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Intrinsic hand muscle reinnervation by median-ulnar end-to-side bridge nerve graft: case report.

机译:尺骨中端至端侧桥神经移植进行内在手肌神经支配:病例报告。

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摘要

Recovery of either the motor or sensory functions has not been consistently achieved in upper extremity end-to-side neurorrhaphy; this technique was only indicated when more conventional nerve repair was not possible. In most studies, the whole median or ulnar nerve was used for end-to-side neurotization. In this report, we present 4 cases of high-median or ulnar nerve laceration in which a nerve graft was placed end-to-side between the median and ulnar motor fascicles close to the wrist. At 4 months after surgery, 3 of 4 patients began to recover active movement of the affected small muscles of the hand. EMG and nerve conduction studies confirmed that nerve conduction was through the nerve grafts.
机译:在上肢端对端神经性腹泻中,运动或感觉功能的恢复未能始终如一;仅在无法进行更常规的神经修复时才表明该技术。在大多数研究中,整个正中神经或尺神经用于端到端神经化。在本报告中,我们介绍了4例高中位或尺神经撕裂伤,其中将神经移植物并排放置在靠近手腕的正中和尺神经运动束之间。手术后四个月,四分之三的患者开始恢复受影响的手部小肌肉的活动。 EMG和神经传导研究证实,神经传导是通过神经移植物进行的。

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