활차상주근에 의한 척골신경압박증후군
Cubital Tunnel Syndrome Secondary to the Anconeus Epitrochlearis Muscle
김철현, 변승득, 노재현, 이용범, 이양수, 김풍택,
소속 상세정보
김철현 ( Kim Chul-Hyun )
경북대학교 의과대학 재활의학교실
변승득 ( Byun Seung-Deuk )
경북대학교 의과대학 재활의학교실
노재현 ( Noh Jae-Hyun )
경북대학교 의과대학 재활의학교실
이용범 ( Lee Yong-Boem )
경북대학교 의과대학 재활의학교실
이양수 ( Lee Yang-Soo )
경북대학교 의과대학 재활의학교실
김풍택 ( Kim Poong-Taek )
경북대학교 의과대학 재활의학교실
KMID : 0860920050070010059
Abstract
Many causes of ulnar neuropathy around elbow have been identified. The anomalous anconeus epitrochlearis muscle has rarely been implicated as a causative factor in ulnar nerve compression. We experienced two cases of ulnar neuropathy around elbow secondary to the anconeus epitrochlearis muscle. We checked short segmental ulnar nerve conduction study which was more sensitive than routine segmental ulnar nerve conduction study before operation. There were significant slowing of conduction velocity in segments between 1cm below and 3cm above the medial epicondyle. In operation field, we found a group of muscle fibers acrossed the ulnar nerve from medial epicondyle to olecranon, which was anconeus epitrochlearis. Decompressive operations were done for each cases. After operation, we rechecked short segmental ulnar nerve conduction study compared to previous values, and got better results.
키워드
Ulnar neuropathy;Anconeus epitrochlearis;Short segmental ulnar nerve conduction study;Elbow
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