Knobloch Karsten, Gohritz Andreas, Altintas Mehmed A, Spies Marcus, Vogt Peter M
Plastic, Hand and Reconstructive Surgery, Hannover Medical School, Hannover, Germany.
Cases J. 2009 Jan 29;2(1):100. doi: 10.1186/1757-1626-2-100.
We present a case of combined median nerve contusion with immediate loss of sensation after the strangulation with a wakeboarding rope and prolonged referral to our department 72 hours after the injury accompanied by an acute carpal tunnel syndrome with immediate relief of numbness of a significant proportion of the median nerve following surgical decompression.
The palmar branch of the median nerve was surrounded by a significant haematoma in addition to the strangulation damage caused by its more superficial location in contrast to the median nerve.
In case of acute median neuropathy, urgent surgical intervention with exploration, decompression of both, the median nerve and the superficial branch of the median nerve, accompanied by compartment measurements of the forearm should be performed to regain or re-establish neurological integrity.
我们报告一例因滑水板绳索勒伤导致正中神经合并挫伤，伤后立即出现感觉丧失，伤后72小时转诊至我院，伴有急性腕管综合征，手术减压后大部分正中神经麻木症状立即缓解。
与正中神经相比，正中神经掌支位置较浅，除勒伤损伤外，还被大量血肿包围。
对于急性正中神经病变，应进行紧急手术干预，探查并减压正中神经及其浅支，同时测量前臂筋膜室压力，以恢复或重建神经完整性。
