Koh S M, Moate F, Grinsell D
Department of Plastic Surgery, The Northern Hospital, Melbourne, Australia.
J Hand Surg Eur Vol. 2010 Mar;35(3):228-31. doi: 10.1177/1753193409354015. Epub 2009 Dec 9.
This study highlights the benefits of carpal tunnel release (CTR) in four patients presenting with complex regional pain syndrome (CRPS) after hand surgery who also had carpal tunnel syndrome (CTS) diagnosed clinically and by nerve conduction studies. Three of the patients underwent pre- and postoperative volumetric, circumference, grip strength and range of motion measurements. The Disabilities of the Arm, Shoulder and Hand (DASH) functional outcome measure and pain scores were also used. There was almost complete resolution of CRPS symptoms in all four patients, with notable reductions in oedema and improvements in grip strength and range of motion. There were also improvements in DASH outcome scores and pain scores after CTR.
本研究强调了腕管松解术（CTR）对4例手部手术后出现复杂性区域疼痛综合征（CRPS）且经临床诊断和神经传导研究确诊患有腕管综合征（CTS）患者的益处。其中3例患者在术前和术后进行了体积、周长、握力和活动范围测量。还使用了上肢、肩部和手部功能障碍（DASH）功能结局测量指标和疼痛评分。所有4例患者的CRPS症状几乎完全缓解，水肿明显减轻，握力和活动范围得到改善。CTR术后DASH结局评分和疼痛评分也有所改善。
