【作者】 王斌； 董秀芝； 田敏； 杨焕友； 尹佳丽； 李浩；

【Author】 WANG Bin,DONG Xiu-zhi,TIAN Min,et al. The Department of Hand Surgery,The Second Hospital of TangShan.Hebei Province 063000,China

【机构】 河北唐山市第二医院手1科； 华北煤炭医学院附属医院；

【摘要】 [目的]探讨对掌肌管综合征的临床特点,为临床诊治对掌肌管综合征提供依据。[方法]对1998年2月～2006年8月收治的8例对掌肌管综合征患者的病历资料,结合文献,进行回顾分析和总结。[结果]小指对掌肌浅深两头腱性起点和钩骨钩之间的间隙为小指对掌肌间隙。3例腱鞘囊肿,4例韧带肥厚,1例血管瘤,均位于对掌肌管处。临床表现为除小鱼际肌以外的尺神经支配内在肌麻痹,不伴有感觉障碍。[结论]对掌肌管综合征属于腕尺管综合征的一种较特殊类型;由于不伴有感觉障碍,手指屈伸正常,临床容易漏诊;应与Guyon管、豆钩管、拇收肌腱弓综合征和臂丛神经卡压综合征等进行鉴别。更多还原

【Abstract】 [Objective]To discuss the clinical features of opponens canal syndrome,according to this we can make the clinical diagnosis and treatment for opponens canal syndrome.[Method]With literature as references, eight cases of opponens canal syndrome from February,1998 to August,2006 were retrospective analyzed and summarized.[Results]The space between the deep-shallow tendon nature origin of opponens digiti minimi and the hamulus ossis hamati is the opponens digiti minimi clearance.Ganglion existed in three cases,ligamentum hypertrophy existed in four cases,and hemangioma in one case,they are all located at opponens canal.The clinical manifestation is that intrinsic muscles controlled by ulnar nerve except hypothenar muscles are paralyzed,without sensory disturbance.[Conclusion]The opponens canal syndrome is a special kind of symptom of ulnar tunnel sydrome(UTS).Because the disease is not associated with sensory disability and the finger flection and extension is normal,it can be easily missed during clinical diagnosis. It should be discriminated from Guyon’s canal,pisiforme and hamate canal,adductor pollicis tendon bow syndrome and brachial plexus nerve entrapment syndrome.更多还原