Kono Hiroshi
Department of Orthopaedic Surgery, Osaka City Kita Hospital, Osaka, 554-0012 Japan.
Hand Surg. 2003 Jul;8(1):141-3. doi: 10.1142/s0218810403001601.
We reported on an acute carpal tunnel syndrome that occurred two hours after the internal fixation of scaphoid. Operative exploration showed median nerve compression caused by flexor digitorum superficialis muscle bellies within the carpal tunnel. Symptoms were relieved immediately after the carpal tunnel release. This case was very rare because acute carpal tunnel syndrome was caused by swollen muscle bellies within the carpal tunnel after the initial operation for the trans-scaphoid perilunate dislocation. This clinical situation should be distinguished from compartment syndrome of forearm.
我们报告了一例舟骨内固定术后两小时发生的急性腕管综合征。手术探查显示腕管内的指浅屈肌肌腹导致正中神经受压。腕管松解术后症状立即缓解。该病例非常罕见，因为急性腕管综合征是由经舟骨月骨周围脱位初次手术后腕管内肿胀的肌腹引起的。这种临床情况应与前臂骨筋膜室综合征相鉴别。
