利用肌电图分析感觉塌陷试验中的肌肉活动:实验病例报告

Vincent Martinel, Benjamin Ferembach, Karim Anani, Floris Van Rooij, Bethany Grew, Thomas Apard
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引用次数: 0

摘要

一名 48 岁的右撇子男性外科医生主诉手指麻木、疼痛、抽筋和无力,病程已持续 2 年,经过 2 次腕管皮质类固醇注射和夹板治疗后仍不见好转。患者被诊断为伴有哈格特三联征的裂隙综合征。感觉塌陷试验呈阳性,但试验中的感觉与文献报道不一致。因此,结合肌电图进行了感觉塌陷试验;皮肤刺激后,立即观察到肌张力部分短暂塌陷,但没有完全中断。手术松解同侧正中神经的纤维束后,症状得到缓解,感觉塌陷试验和肌电图联合检查显示,皮肤刺激后肌张力塌陷极小,甚至没有塌陷。
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Muscle activity analysis using electromyography during sensory collapse test: An experimental case report.

A 48-year-old right-handed male surgeon complained of finger numbness, pain, cramps and weakness of 2 years' progression, without improvement after 2 carpal tunnel corticosteroid injections and splinting. The patient was diagnosed with lacertus syndrome with Hagert's triad. Sensory collapse test was positive, but the sensations during the test were not consistent with the literature. Therefore, a sensory collapse test was performed in combination with electromyography; immediately following cutaneous stimulation, partial transient collapse in muscle tone was observed, without complete interruption. Following surgical release of the ipsilateral median nerve at the lacertus fibrosus, the symptoms were resolved, and combined sensory collapse test and electromyography revealed minimal to no collapse in muscle tone following cutaneous stimulation.

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Patterns of Osteoarthritis in Long Finger Joints: An Observational Cadaveric Study with Potential Biomechanical Considerations. Muscle activity analysis using electromyography during sensory collapse test: An experimental case report. Sensitivity and specificity of the sensory collapse test for nerve entrapment syndrome in the upper extremity. Overview of French hand surgeons' practices regarding primary nerve repairs of digital nerves. The role of the exhaustion test in lacertus syndrome.
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