Hofmann A K, Wüstner M C, Spier W
Abteilung für Unfallchirurgie, Hand-, Plastische und Wiederherstellungschirurgie der Universität Ulm.
Handchir Mikrochir Plast Chir. 1990 Mar;22(2):96-8.
The case is reported of a 75-year old patient with diabetes, who suffered from a typical carpal tunnel syndrome, which was diagnosed by a neurologist. On the X-rays of hand and wrist there were no pathological findings. A small, clinically almost inapparent induration at the palmar and radial side of the wrist was found. Ultrasonography and CT-scan showed a tumor with compression of the median nerve. At operation the authors excised a tumor which on histological investigation was compatible with a soft tissue chondroma. Full recovery followed local excision with decompression of the median nerve. Soft tissue chondromas localised to the hand and wrist are extremely rare. A few cases have been described in the literature which led to a nerve compression.
报道了一例75岁的糖尿病患者，患有典型的腕管综合征，由神经科医生确诊。手部和腕部的X线检查未发现病理改变。在腕部掌侧和桡侧发现一个小的、临床上几乎不明显的硬结。超声检查和CT扫描显示有一个肿瘤压迫正中神经。手术中作者切除了一个肿瘤，组织学检查显示与软组织软骨瘤相符。局部切除并对正中神经减压后患者完全康复。手部和腕部的软组织软骨瘤极为罕见。文献中描述了少数导致神经受压的病例。
