骨科手术早知道155：肘管综合征（Cubital Tunnel Syndrome）

　　尺神经通过肘关节后方由肌肉、肌腱和骨构成的肘管时，容易受到卡压，可出现前臂和手的尺侧疼痛、感觉迟钝和无力。如保守治疗无效，可考虑行尺神经松解前置术。

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A Patient's Guide To Cubital Tunnel Syndrome

肘管综合征病人指南

Cubital Tunnel Syndrome is cause by pressure on the ulnar nerve at the inside of the elbow.  The nerve can become compressed when it passes through a passage way formed by muscle, ligament and bone, called the cubital tunnel.

　　肘管综合征是肘关节内侧尺神经受压引起的。尺神经在通过由肌肉、韧带和骨构成的称为肘管的小通道时可能受压。

The ulnar nerve carry signals for sensation and movement to the hand and forearm.

　　尺神经传递手和前臂的感觉、运动的信号。

The causes of most cubital tunnel syndrome is unknown, But anatomical factors and several other factors may contribute to compression, including repetitive movements, direct pressure on the elbow, fractures, bone spurs, swelling or cysts.

　　很多肘管综合征的原因尚不清楚。解剖因素及其它一些因素与压迫有关，包括重复活动、肘部直接受压、骨折、骨刺、肿胀及囊肿。

Compression causes faulty nerve message to be sent down the forearm and into the hand. You may feel pain, especially at your elbow, and inner part of your forearm. You may experience numbness and tingling sensation in your ring and little finger, feeling similar to when your funny bone is hit. Your symptoms may come and go and increase when your elbow is bent. You may also experience poor finger coordination and your grip and forearm may feel weak.

　　压迫导致错误的神经信号传到前臂和手。您会感到疼痛，尤其在肘关节和前臂内侧。您会感到环指和小指麻木和刺痛，跟肘关节后方的“麻筋”被敲到的感觉一样。 您的症状时轻时重，在屈肘时会加重。您还会感觉手指协调性变差，抓握和前臂无力。

Many cases of cubital tunnel syndrome will respond to rest and pain relieving treatments. Surgery is recommended if symptoms do not improve.

　　很多肘管综合征对休息和止痛治疗起效。如果症状未改善，推荐进行手术治疗。

There are vary surgical options for relieving the pressure on the ulnar nerve. The most common surgical procedure is called anterior transposition of the ulnar nerve.

　　尺神经减压的手术方式有很多种。最常用的手术是尺神经前置术。

Let's take a close look.

　　让我们来仔细看看这一手术。

To begin, an incision is made at the inside of the elbow. The ulnar nerve is moved from behind the elbow to the front. The ulnar nerve may be placed over or under the muscle. A slim of tissue is created to keep the nerve in it's new position.  The incision is closed and bandaged.

　　首先，在肘关节内侧作一切口。将尺神经从肘关节后方移到前方。尺神经可以放在肌肉的表面或深面。作一细条组织将神经固定在新的位置上。最后关闭切口并包扎。

You will most likely to wear a splint for a short time following surgery. Thearapy is recommended to help gain strength and motion.

　　术后您可能需要佩带小夹板一段时间。建议进行物理治疗以恢复力量和运动。

The length of your recovery depends on the extend of the condition and the surgery that you had. Your doctor will let you know what to expect.

　　恢复时间的长短有赖于病情的严重程度和所作的手术。医生会告诉您预期效果。

（胡佰文  听译）