Stone D A, Laureno R
Department of Neurology, Washington Hospital Center, Washington, DC 20010.
Neurology. 1991 Jan;41(1):145-7. doi: 10.1212/wnl.41.1.145.
Compressive neuropathy due to tight application of handcuffs occurred in 5 patients. The superficial radial nerve was affected in 8 hands and the median nerve in two. Neurologic deficits persisted as long as 3 years after handcuffing. Nerve conduction studies helped to exclude malingering and other diagnoses. All patients had been intoxicated when handcuffed or had been arrested with force. The handcuff mechanism, which allows accidental overtightening after application, is an unrecognized factor in these neuropathies.
5例患者因手铐紧勒导致压迫性神经病变。8只手的桡神经浅支受累,2只手的正中神经受累。神经功能缺损在手铐铐上后持续长达3年。神经传导研究有助于排除诈病和其他诊断。所有患者在手铐铐上时均已醉酒或被强行逮捕。手铐装置在使用后可能意外过度收紧,这是这些神经病变中一个未被认识到的因素。