肘关节松解术相关尺神经并发症的研究进展

Recent advancements of ulnar nerve complications associated with elbow arthrolysis

目前肘关节松解术是治疗肘关节僵硬最常用的治疗手段。尺神经并发症是肘关节松解术后评价健康状况重要的指标之一,但目前对于术中的尺神经处理方式以及手术指征的把控上尚未达成共识。本综述结合相关文献及临床经验,针对术前存在或不存在尺神经症状的患者,探讨肘关节松解术中行尺神经松解术的必要性以及如何选择尺神经手术方式,认为尺神经并发症的处理应在临床上引起重视并开展进一步研究。

Elbow arthrolysis is the most commonly used treatment for elbow stiffness. Ulnar nerve complications are one of the most important evaluation indicators of postoperative health status. However, there is no consensus on the management of ulnar nerve and the control of surgical indications. Combining relevant literature and clinical experience, this review discussed the necessity of ulnar nerve release and the choice of ulnar nerve operations during elbow arthrolysis with or without preoperative ulnar nerve symptoms. It is considered that more attention should be paid to the management of ulnar nerve complications and further research should be performed.