动态超声诊断肱三头肌弹响综合征1例

发布时间：2018-04-28 03:29

  本文选题：肘关节伸直位 + 尺神经沟　； 参考：《中国超声医学杂志》2017年09期

【摘要】：正患者男,26岁。主因"双肘关节活动弹响疼痛7年余"就诊。患者7年前无明显诱因出现双肘关节屈肘时弹响,伴疼痛,无神经放射痛,近年来加重。专科查体:双肘关节未见明显畸形,肘关节活动度正常,双肘关节伸直位时尺神经沟内触及尺神经,屈肘时尺神经滑脱至内侧髁前侧,肘关节曲时弹响阳性,伸肘功能正常。肌电图显示双前臂肌及手肌神经源性损伤。超声检查:肘关节伸直位静息状态下,尺神经位于尺神经沟内,可见局限增粗,粗约0.22cm,横
[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.
【作者单位】： 北京积水潭医院超声诊断科;
【分类号】：R445.1;R688
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本文编号：1813567