 Cubital tunnel syndrome 肘管综合征  01 在我们的身体里，有着大量的神经。大约有140亿个神经元细胞。尽管神经元有各种各样的形状。然而，每个神经元的基本组成部分是细胞体和神经突。此外，神经元可引起许多疾病，如运动神经元疾病。这是一种罕见的疾病，它会影响我们的大脑和神经元。此外，这种疾病会使人的身体虚弱，并随着时间的推移变得更糟。顺便说一下，如果一个人的神经元有问题，有时他或她可能不需要找一个专门研究神经病学的医生。因为有些情况你需要找骨科专家，比如尺神经的问题。有一个例子就是肘管综合征。 In our body, neurons are big guys who lived in it. And there are roughly 14 billion neuron cells. Even though there are various shapes of neurons. However, each neuron's basic components are the cell body and neurite. In addition, neurons can cause many diseases, such as motor neuron disease. This is an uncommon disease and it can affect both our brains and neurons. Also, this kind of disease would make people’s body weak and becomes worse over time. By the way, if one people have some problems with neurons, sometimes he or she may not have to find a doctor who specializes in a department of neurology. As there are some conditions that you need to find an Orthopaedic specialist, problems with the ulnar nerve for example. One type of this example is Cubital tunnel syndrome.  02 首先，什么是尺神经?尺骨神经位于上肢控制着第四和第五根手指。此外，它还可以向我们的大脑发送感觉信息，比如温度、疼痛和触觉。尺神经可分为前臂肌支、前臂前侧手腕附近的背侧皮支和前臂中部的掌侧皮支。 To begin with, what is the ulnar nerve? The ulnar nerve which located on the upper limb and controls the fourth and the fifth finger. Also, it can send sensory information to our brain, such as temperature, pain, and touch. The ulnar nerve can be split into a muscular branch where in the forearm, a dorsal cutaneous branch located in the front of the forearm and near the wrist, and the palmar cutaneous branch at the middle of the forearm. These are basic information about the ulnar nerve. 更进一步说，尺神经会引起肘管综合症。在我看来，这是一种常见的疾病，这和我们的日常行为息息相关。以我为例，在2022年的暑假我得了这种病。一开始，我发现我的小指和无名指不能像其他手指一样伸直。然而，我没有把这件事当回事，就这么算了。随着时间的推移，我的症状也因此变得越来越严重，我发现我的手部肌肉萎缩了。于是我就去了医院，经过医生问了一系列的问题后，被诊断出患有肘管综合症。这是由于我的睡觉和学习的姿势所造成的。当我睡觉的时候，我总是喜欢把胳膊放在头下面。此外，我喜欢在写作的时候把我的头支在胳膊上。经过长时间的积累，就由此导致了我的尺神经卡压以及肿胀。 To go further, the ulnar nerve can cause Cubital tunnel syndrome. In my point of view, this is a common disease and this can happen result in our daily behavior. Take me as an example. I got this disease on summer vacation in 2022. In the beginning, I found that my little finger and my ring finger could not be straightened as my other fingers. However, I did not take this thing seriously and just let it go. Over time, my symptom became severe and I found that my hand muscle shrank. Therefore I went to a hospital and after a series of questions asked by a doctor. I was diagnosed with Cubital tunnel syndrome. This is because of my sleeping and studying pose. When I am sleeping, I always put my arm under my head. In addition, I like propping my head up on my arms while I am writing. These always take a long time and over time, my nerve entrapment swelled.  03 这种疾病最显著的症状就是你的小指和无名指不能伸直，变得弯曲又或是失去感觉或刺痛。当你触摸你的无名指和无名指时，你会感到麻木。此外，一旦得了这种病，一些事情就会很难做，比如打字或演奏乐器和控制你的手指。这些情况通常发生在疾病变得更严重的时候。如果你不关心这件事，像我一样长期不治疗，肌肉萎缩就会发生，这是一个不可逆转的情况。有一点需要注意的是，如果你有这种疾病超过6周，你必须要去看医生。 The most significant sign of this disease is your little ring fingers could not be straightened and become crooked. Loss of sensation or tingling. To be more specific, when you touch your fourth and fifth fingers, you will feel a sense of numbness. In addition, it is difficult to do something once you get this disease, like typing or playing musical instruments and controlling your fingers. These conditions usually happen when the disease becomes more severe. If you do not care about this thing and for a long time without treatment just like me, a more serious phenomenon would happen. Muscle wasting will occur which is an irreversible situation. One thing to note is a key that you must have to see a doctor if you have this disease for more than 6 weeks. 这里有一些治疗肘管综合征的方法。俗话说地好，对症下药。例如，如果你和我有着相同的睡眠习惯，穿戴一个支架是一个好方法，因为它可以确保你的手臂伸直。此外，你可以做一些与尺神经有关的运动，因为这些可以帮助你的神经更顺滑而不是卡压住。此外，它还可以防止手腕和手臂变得僵硬。然而，如果你的症状很严重，你就可能需要做手术。这个手术有三种，包括肘管松解术、尺神经前移位术和内上髁切除术。根据我自己的症状，医生建议我做一个肘管释放手术。这个手术的目的是释放你的肘管，使它比以前更宽。如果有受损的神经，新的神经也会重新生长出来。通常，你只需要在医院住一晚。即使手术不能保证你的肘管可以完全治愈。然而，结果总是好的。另外，你还需要做一些手部练习来帮助你术后恢复。 is a good way to wear a pad, which can make sure that your arm is straight. Also, you can do some exercises related to ulnar nerves as these can help your nerve slide more easily. In addition, it can also prevent your wrist and arm become stiff. However, if your symptoms are so severe that you would probably need to do surgery. There are three kinds of surgeries, including Cubital tunnel release, Ulnar nerve anterior transposition, and Medial epicondylectomy. To solve my situation, the doctor recommended I do a Cubital tunnel release surgery. The purpose of this surgery is to release your cubital tunnel, making it bigger and wider than before. And new neurons would grow if there are some damaged neurons. Usually, you only need to stay one night in a hospital. Even though the surgery can not guarantee that your cubital tunnel can be treated completely. However, the result is always positive. You also need to do some hand exercises to assist your postoperative recovery.  总之，与其他疾病相比，肘管综合征并不是一种非常严重的疾病。手术也不是很复杂。尽管有时这个症状不会得到根治。然而，我相信，如果你有一个良好的睡眠姿势和写字习惯。这对你来说将不会成为一个问题。 In conclusion, Cubital tunnel syndrome is not a very severe disease compared with other kinds of diseases. And the surgery is not quite complicated. Even though this sometimes would not be properly treated. However, I believe that if you have a good habit of sleeping pose and writing. This would not be a problem for you.  References: Cubital Tunnel Syndrome: Signs & Treatment | The Hand Society. (n.d.). Www.. https://www./handcare/condition/cubital-tunnel-syndrome Cleveland Clinic. (2021). Ulnar Nerve: Anatomy, Function & Common Conditions. Cleveland Clinic. https://my./health/body/21664-ulnar-nerve Lama, P., Potu, B. K., & Bhat, K. M. (2009). High origin of dorsal branch of the ulnar nerve and variations in its branching pattern and distribution: a case report. https:///10.1186/1757-1626-2-9130 NHS Choices. (2021). Motor neurone disease. NHS. https://www./conditions/motor-neurone-disease/ Ulnar nerve. (n.d.). Kenhub. https://www./en/library/anatomy/the-ulnar-nerve Ulnar Nerve Entrapment at the Elbow (Cubital Tunnel Syndrome) - OrthoInfo - AAOS. (2011). Aaos.org. https://orthoinfo./en/diseases--conditions/ulnar-nerve-entrapment-at-the-elbow-cubital-tunnel-syndrome/ 注：文章作者为以下作者，非赞赏作者  |
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