後骨間神經受傷的處理－四病例報告

Treatment of Posterior Interosseous Nerve Injury

李俊達(Jiunn-Tat Lee) ； 洪學義(Shyue-Yih Horng) ； 李經維(Jin-Wei Lee) ； 陳明庭(Ming-Ting Chen)

《中華民國重建整形外科醫學會雜誌》 1卷1期 (1992/02) Pp. 44-47

https://doi.org/10.7096/JPRSA.199202.0044

摘要

後骨間神經受傷會造成手部特殊畸形及功能喪失，亦即手指伸張無能及手腕伸張時之橈側傾斜現象，其嚴重性不下於橈神經損傷。對這種病例，過去曾被認為很難修補，所以往往直接做肌腱轉移術。事實上此神經之修補並不困難，手部功能都可恢復到令人滿意的結果。肌腱轉移術則應保留最後才施行。我們經驗四個病例，先前二例是用直接肌腱轉移，後來才改為神經之直接處理，並檢討他們的治療方法。

關鍵字

後骨間神經受傷 ； 神經縫合術 ； 肌腱轉移術 ； 神經移植術

並列摘要

Posterior interosseous nerve injury is a serious problem which causes impairment of extension of fingers and radial deviation of wrist while extension. From anatomical point of view this nerve has a rather short segment from its main trunk to the muscular destination especially it branches rather early after it travels down from the main trunk. So in the past the repair of posterior interosseous nerve had been given up and many authors suggested to do the tendon transfer from the beginnings. However from our experience of several explorations, repair of this nerve seems to be possible and even can employ a nerve graft if any big gap is present. The uneventful result has been obtained in our cases so the tendon transfer should reserve until failure of the nerve repair. We presented four of our experiences to discuss the matter in detail.

並列關鍵字

posterior interosseous nerve injury ； neurorrhaphy ； tendon transfer ； nerve graft