Botte Michael J
Department of Orthopaedic Surgery, UCSD School of Medicine, Division of Orthopaedic Surgery, Scripps Clinic, La Jolla, California, USA.
Instr Course Lect. 2008;57:199-212.
Compression of the median nerve at the wrist (carpal tunnel syndrome) is the most common compression neuropathy of the upper extremity. Surgical decompression has become one of the most frequently performed peripheral nerve procedures. Despite the popularity of the procedure, and the volume of clinical and basic science information available, differences of opinion exist as to diagnosis and management. This review discusses several of these controversies and presents both recent and historical data that have led to some of these disagreements.
腕部正中神经受压(腕管综合征)是上肢最常见的压迫性神经病变。手术减压已成为最常施行的周围神经手术之一。尽管该手术广受欢迎,且有大量临床和基础科学信息,但在诊断和治疗方面仍存在意见分歧。本综述讨论了其中的一些争议,并展示了导致这些分歧的近期和历史数据。