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Methods From February 2002 to January 2005,73 cases of humeral intercondylar fractures were treated with single plating (Group A,21 cases),Y-shape plating (Group B,33 eases) and dual plating (Group C,19 cases).

方法2002年2月~2005年1月,采用单钢板螺钉(A组,21例)、"Y"形钢板(B组,33例)和双钢板(C组,19例)固定治疗73例肱骨髁间粉碎性骨折患者,根据Müller的AO分型标准均为C3型骨折。

The length and width of the arcuate ligament,the depth of the cubital tunnel,the extension of the ulnar nerve and the distance from medial epicondyle to olecranon as the elbow flexed from neutral to 90 degrees were measured.

观察60个肘关节标本肘管的构成,测量肘管弓状韧带的长宽和肘管中部的深度,以及肘关节屈曲90°时肱骨内侧髁和尺骨鹰嘴距离的变化,尺神经被牵拉的幅度。

Methods :60 elbows of adult cadavers were dissected.The length and width of the arcuate ligament,the depth of the cubital tunnel,the extension of the ulnar nerve and the distance from medial epicondyle to olecranon as the elbow flexed from neutral to 90 degrees were measured.

观察60个肘关节标本肘管的构成,测量肘管弓状韧带的长宽和肘管中部的深度,以及肘关节屈曲90°时肱骨内侧髁和尺骨鹰嘴距离的变化,尺神经被牵拉的幅度。

A lateral approach to the elbow is done, centered over the lateral epicondyle.

完成肘部侧方入路,中心定于肱骨外上髁。

The save zone of muscle-splitting approach extends from the medial humeral epicondyle,and 2 cm beyond the end point of UCL on ulna.

经尺侧腕屈肌的肱头和尺头之间、自肱骨内侧髁向前外侧至UCL尺骨止点以远约2 cm为一损伤较小的安全手术入路。

An intentionally loosely placed modular metal radial head prosthesis can help to restore stability in conjunction with repair of other fractures and reattachment of the lateral collateral ligament to the epicondyle in the setting of traumatic elbow instability with a comminuted fracture of the radial head.

伴有粉碎性桡骨头骨折的创伤性肘关节不稳治疗中,在修复其他骨折以及重建肱骨外髁侧副韧带止点的同时,人为宽松地置入桡骨头假体,有利于重建肘关节稳定性。

Can lead to posterolateral rotatory instability.25 If necessary for exposure, the origin of the LCL can be elevated off the lateral epicondyle, tagged, and reattached at the end of the procedure using suture anchors.

假如有必要暴露,则LCL起始部可抬高于于肱骨外上髁,作上标记,于手术末用缝合锚重新附上。

The length and width of the arcuate ligament were 9.7±2.3 mm and 14.1±4.2 mm respectively.The depth of the cubital tunel was 5.2±1.1 mm,The extension of ulnar nerve and the distance from epicondyle to olecranon were 7.2%±0.5% and 4.7±1.5 mm.

弓状韧带宽9.7±2.3 mm,长为14.1±4.2 mm,肘管中段的平均深度5.2±1.1 mm,当肘关节曲屈90°时,肱骨内侧髁到尺骨鹰嘴的距离增加4.7±1.5 mm,尺神经被拉长的幅度为7.2%±0.5%。

With the patient prone and the elbow flexed 90 degrees over a support and the forearm dependent, begin a curved skin incision over the center of the posterior surface of the arm at the proximal limit of the triceps tendon, extend it distally to the posterior aspect of the lateral epicondyle, and then farther distally and medially to the posterior border of the ulna, 4 cm distal to the tip of the olecranon Fig.

手术方法:病人俯卧,屈肘90°,置于支架上,前臂下垂。在上臂后侧中央作弧形切口,起自肱三头肌腱上极,向远端延至肱骨外上髁的后侧,向内向下转至尺骨后缘的内侧,止于鹰嘴远端4cm处(图1-105A)。

Segment ulnar nerve conduction studies showed that most of the lesions were located above or below the medial epicondyle 2-3cm.③ Abnormal flexor carpi ulnaris muscle electromyography was not found involved in ulnar neuropathy at the elbow. Conclusion Short??

结果 ①尺神经病变组中有19例出现尺神经在肘上至肘下段运动神经传导速度减慢;②尺神经肘上至肘下段短节段性神经传导检测结果显示具体病变部位多数集中在肱骨内上髁上下2-3cm内;③尺神经在肘部病变者并非均有尺侧腕屈肌肌电图的异常。

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