钩骨脱位合并正中神经返支损伤.pptVIP

正中神经损伤机制？Median nerve palsy ? 钩骨后移 TCL后移 腕管容积变小 腕管内 压力增加 正中神经受压 hamate moves dorsally pulls the TCL dorsally volume of carpal tunnel decreased pressure increased median nerve compressed Summary 钩骨脱位是一种罕见损伤 Isolated dislocation of the hamate is a rare entity 该种损伤是一种高能损伤，早期发现并及时处理术后疗效满意，简单的脱位闭合复位，复杂的损伤切开复位 a kind of high energy injury, the satisfactory recovery ，isolated dislocation closed reduction ，complex injuries surgical procedure 损伤机制（脱位，神经）Injury Mechanism 诊断钩骨脱位后注意是否合并神经损伤，尤其是RMB损 （无正中神经感觉异常，伤后因为疼痛难以检查大鱼际肌肌