[Ortho] Повреждение локтевого нерва

[SAGo]

Если больной жалуется на функциональную недостаточность кисти и хирург может больному
помочь, то это - не просто симптом, а уже ортопедическая проблема. По поводу поперечного
свода кисти. Bell-Krotoski ( Bell-Krotoski JA. Preoperative and postoperative management
of tendon transfers after ulnar nerve injury. In:Hunter JM, Mackin EJ, Callahan AD, eds.
Rehabilitation of the hand: surgery and therapy; Vol. II. 4th ed., St Louis:Mosby-Year Book,
1995: 729 751.): ..the hypothenar muscle mass exes, stabilizes, and brings into opposition
the fourth and fth metacarpals and ulnar two ngers and, with the thumb, enables the hand to cup
the palm securely around objects. Loss of the intrinsic hypothenar muscles and resultant
attened or reversed metacarpal arch disrupts the grasping and securing power functions of
the hand, leaving the patient to experience weakness and clumsiness in handling large
objects 1. Bunnell S. Surgery of the intrinsic muscles of the hand other than those producing
opposition of the thumb. J Bone Joint Surg 1942; 24: 1 31. 2. Littler JW. Tendon transfer and
arthrodesis in combined median and ulnar nerve paralysis. J Bone Joint Surg 1949; 31A: 225
234. 3. Omer GE. Tendon transfers in combined nerve lesions. Orthop Clin North Am 1974; 5: 377
387. 4. Omer GE. Ulnar nerve palsy. In: Green DP, ed. Operative hand surgery; Vol. II. 3rd ed.,
New York: Churchill Livingstone, 1993: 1449 1466. 5. Palande DD. Correction of
intrinsic-minus hands associated with reversal of the transverse metacarpal arch. J Bone
Joint Surg 1983; 65A: 514 521. 6. Ranney DA. Reconstruction of the transverse metacarpal arch
in ulnar palsy by transfer of the extensor digiti minimi. Plast Reconstr Surg 1973; 52: 406
412. 7. Ranney DA. The mechanism of arch reversal in surgically corrected claw hand. Hand
1974; 6: 266 272. 8. Goloborod ko S.A. Restoration of opposition of the fifth finger of the
hand. Scand J Plast and Reconstr Surg and Hand Surg 2004; V. 38, No. 2; 118 120.
SAGo