Graf P, Dorn W
Abteiling für Plastische und Wiederherstellungschirurgie, Klinikum rechts der Isar Technischen Universitä München.
Handchir Mikrochir Plast Chir. 1990 Sep;22(5):261-3.
The authors demonstrate a case of a scaphoid pseudarthrosis leading to an attrition rupture of the flexor pollicis longus tendon, tenosynovitis and haemorrhage into the carpal tunnel causing recurrent symptoms of an acute carpal tunnel syndrome. Every acute carpal tunnel syndrome is an emergency requiring instant decompression of the carpal tunnel. If success with conservative treatment of acute carpal tunnel syndrome is questionable, early operative relief of the median nerve is the safest procedure.
作者展示了一例舟状骨假关节导致拇长屈肌腱磨损断裂、腱鞘炎以及腕管内出血,进而引发急性腕管综合征反复症状的病例。每一例急性腕管综合征都是需要立即对腕管进行减压的急症。如果急性腕管综合征保守治疗的效果存疑,早期对正中神经进行手术减压是最安全的做法。