Kanatani Takako, Yamasaki Kyoko, Fujioka Hiroyuki
Department of Orthopaedics, Kobe Rosai Hospital, Kobe, Japan.
Hand Surg. 2010;15(3):225-7. doi: 10.1142/S0218810410004886.
In this report, two cases presenting with CTS including a fracture of the silicone implant for Kienböck's disease after replacement over 20 years postoperatively where CTR ceased the symptoms of CTS. The major symptom characteristic was the median nerve impairment with less emphasis on the limited range of motion of the wrist or wrist pain due to a fracture of the silicone implant. There was an unlikely association between the fracture of the implant and CTS, which was confirmed by the operative findings of tenosynovitis and thickness of the degenerated transverse ligament without a significant protrusion of the silicone implant.
在本报告中，有两例腕管综合征（CTS）病例，其中一例是患有月骨无菌性坏死的患者在术后20多年进行硅胶植入物置换后出现植入物骨折，而腕横韧带切开减压术（CTR）缓解了CTS症状。主要症状特征是正中神经损伤，较少关注因硅胶植入物骨折导致的手腕活动范围受限或手腕疼痛。植入物骨折与CTS之间不太可能存在关联，这一点通过腱鞘炎的手术发现以及退变的横韧带增厚得以证实，硅胶植入物并无明显突出。
