Neurol. pro Praxi, 2002; 6: 333-336

Reoperace pro úžinové syndromy ulnárního nervu v oblasti lokte

MUDr. Martin Kanta1, MUDr. Roman Hlatký1, MUDr. Václav Málek CSc1, MUDr. Jiřina Habalová1, MUDr. Carmen Daňková1, doc. MUDr. Edvard Ehler CSc2
1 Neurochirurgická klinika, LF UK a FN, Hradec Králové
2 Neurologické oddělení, Krajská nemocnice, Pardubice

Keywords: reoperace u syndromu kubitálního tunelu, subkutánní transpozice nervu, prostá dekomprese ulnárního nervu, epikondylektomie, submuskulární transpozice se #Z# plastikou.

Published: December 31, 2002  Show citation

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Kanta M, Hlatký R, Málek V, Habalová J, Daňková C, Ehler E. Reoperace pro úžinové syndromy ulnárního nervu v oblasti lokte. Neurol. praxi. 2002;3(6):333-336.

Autoři hodnotí indikace a výsledky reoperací u pěti pacientů s úžinovými syndromy ulnárního nervu v loketní oblasti. Ze 120 našich pacientů operovaných několika různými technikami podstoupili reoperaci čtyři pacienti, tři muži a jedna žena. Pátý pa­cient našeho souboru byl primárně dvakrát operován na jiném pracovišti. U dvou pacientů jsme zvolili techniku transpozice nervu s uložením nervu v podkožním lůžku. U prvního pacienta byl efekt velmi dobrý, u druhého přetrvávají reziduální obtíže. V případě pacienta operovaného dvakrát na jiném pracovišti jsme zvolili techniku submuskulární transpozice se -Z- plastikou flexor-pronátorové svalové skupiny. Obdobnou techniku jsme zvolili i u ženy, která byla poprvé operována pro ulnární epikondylitidu a následně pro rozvoj syndromu kubitálního tunelu technikou prosté dekomprese. U obou těchto pacientů byl efekt velmi dobrý. U pacienta operovaného prostou dekompresí jsme se rozhodli pro uvolnění nervu a epikondylektomii s uspokojivým efektem.

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