Niver Genghis E, Ilyas Asif M
Hand and Upper Extremity Surgery, Rothman Institute, Thomas Jefferson University, Philadelphia, PA 19107, USA.
Orthop Clin North Am. 2012 Oct;43(4):521-7. doi: 10.1016/j.ocl.2012.07.021. Epub 2012 Sep 4.
Carpal tunnel syndrome is a common condition and is a well-recognized phenomenon following a distal radius fracture. The treating surgeon should be vigilant in noticing the signs and symptoms. If acute carpal tunnel syndrome is noted, then surgical release of the carpal tunnel and fracture fixation should be performed urgently. If early carpal tunnel syndrome findings are noted during distal radius fracture management, all potential causes should be evaluated. Delayed carpal tunnel syndrome presenting after a distal radius fracture has healed is best managed in standard fashion. There is no role for prophylactic carpal tunnel release at the time of distal radius fixation in a patient who is asymptomatic.
腕管综合征是一种常见病症，也是桡骨远端骨折后一种广为人知的现象。主治外科医生应警惕其体征和症状。如果发现急性腕管综合征，应紧急进行腕管松解术和骨折固定术。如果在桡骨远端骨折治疗过程中发现早期腕管综合征迹象，则应评估所有可能的病因。桡骨远端骨折愈合后出现的迟发性腕管综合征，采用标准方法治疗效果最佳。对于无症状的患者，在桡骨远端固定时预防性进行腕管松解术并无必要。
