Kim J H, Gong H S, Lee H J, Lee Y H, Rhee S H, Baek G H
Department of Orthopaedic Surgery, Seoul National University Boramae Medical Center, Seoul, South Korea.
J Hand Surg Eur Vol. 2013 Jan;38(1):50-6. doi: 10.1177/1753193412445441. Epub 2012 May 2.
We retrospectively reviewed 633 hands in 362 patients who had idiopathic carpal tunnel syndrome and underwent carpal tunnel release between 1999 and 2009. Electrophysiological studies and simple radiographs of the wrist, cervical spine, and basal joint of the thumb were routinely checked, and patients were also assessed for the presence of trigger digit or de Quervain's disease before and after surgery. Among 362 patients, cervical arthritis was found in 253 patients (70%), and C5-C6 arthritis was the most common site. Basal joint arthritis of the thumb was observed in 216 (34%) of the 633 hands. Trigger digit or de Quervain's disease was observed in 85 of the 633 hands (13%) before surgery, and developed in 67 hands (11%) after surgery. Cervical arthritis, basal joint arthritis, and trigger digit commonly coexist with idiopathic carpal tunnel syndrome. Patient education about these disorders is very important when they coexist with idiopathic carpal tunnel syndrome.
我们回顾性分析了1999年至2009年间362例特发性腕管综合征患者并接受腕管松解术的633只手。常规检查了手腕、颈椎和拇指基底关节的电生理研究及简单X线片，并且在手术前后对患者是否存在扳机指或桡骨茎突狭窄性腱鞘炎进行了评估。在362例患者中，发现253例（70%）有颈椎病，其中C5-C6节段关节炎最为常见。633只手中有216只（34%）观察到拇指基底关节关节炎。术前633只手中有85只（13%）观察到扳机指或桡骨茎突狭窄性腱鞘炎，术后有67只手（11%）出现。颈椎病、拇指基底关节关节炎和扳机指常与特发性腕管综合征并存。当这些疾病与特发性腕管综合征并存时，对患者进行相关教育非常重要。
