Brax P, Destuynder O, Rigaud P, Ridoux P E, Gille P
Service de Chirurgie Pédiatrique et Orthopédique, Centre Hospitalier Universitaire de Besançon.
Chir Pediatr. 1990;31(6):310-3.
Four cases of Carpal Tunnel syndrome during childhood are reported. Two of them are post traumatic cases; for one child, the syndrome was caused by hypertrophic cal six months after trauma. The other child has been operated because of a median and ulnar nerve deficit syndrome, which appeared one month after fracture. In the third observation, the authors have seen an abnormal muscle just in front of annular anterior ligament of the carpus during surgery. This muscle was assimilated to hypertrophic Palmaris Brevis muscle. In the last observation, the adolescent had a Poland syndrome with Sprengel malformation. In this paper, the authors point out clinical particularities due to musculo-tendinous malformation which can lead to Carpal Tunnel syndrome.
报告了4例儿童腕管综合征。其中2例为创伤后病例;1名儿童在创伤后6个月因腕骨肥厚导致该综合征。另一名儿童因骨折后1个月出现的正中神经和尺神经缺损综合征而接受了手术。在第3例观察中,作者在手术中发现腕部环形前韧带前方有一块异常肌肉。该肌肉被认为是肥厚的掌短肌。在最后1例观察中,该青少年患有波兰综合征并伴有先天性高肩胛畸形。在本文中,作者指出了肌肉肌腱畸形导致腕管综合征的临床特点。