Brown Courtney K, Stainsby Brynne, Sovak Guy
Canadian Memorial Chiropractic College, 6100 Leslie Street, Toronto, Canada ; Division of Graduate Studies, Sports Sciences, Canadian Memorial Chiropractic College, 6100 Leslie Street, Toronto, Ontario, Canada.
Canadian Memorial Chiropractic College, 6100 Leslie Street, Toronto, Canada ; Division of Undergraduate Studies, Canadian Memorial Chiropractic College, 6100 Leslie Street, Toronto, Ontario, Canada.
J Can Chiropr Assoc. 2014 Dec;58(4):413-20.
To present the clinical diagnostic features including management of Guyon canal syndrome in a case with unresolved sensory deficits in a young female cyclist.
After 14 days of cycling across Canada, a 23-year old female experienced sensory loss, followed by atrophy and a "claw" hand appearance of her left hand.
Treatment included cervical chiropractic manipulation, soft tissue therapy and the use of cycling gloves. Seven years after the initial injury a lack of sensation in the ulnar nerve distribution of her left hand has persisted.
This case demonstrates that a lack of proper management can lead to permanent sensory loss and is worth highlighting. Various therapists evaluated the patient's symptoms and provided minimal care. No diagnosis was given, nor were appropriate measures taken for her to understand the risks of continuing to ride.
Although treatment for Guyon Canal Syndrome can be as easy as cessation from cycling until symptoms subside, other treatment options could be utilized to help manage ulnar nerve compression injuries in cyclists.
介绍一名年轻女性自行车运动员出现未解决的感觉缺失的尺神经管综合征病例的临床诊断特征，包括其治疗情况。
在骑行穿越加拿大14天后，一名23岁女性出现感觉丧失，随后左手出现萎缩及“爪形手”外观。
治疗包括颈椎整脊手法、软组织治疗以及使用骑行手套。初次受伤7年后，其左手尺神经分布区域仍存在感觉缺失。
该病例表明，缺乏恰当的治疗可能导致永久性感觉丧失，值得关注。多名治疗师评估了患者的症状并提供了极少的治疗。未给出诊断，也未采取适当措施让她了解继续骑行的风险。
虽然尺神经管综合征的治疗可以简单到停止骑行直至症状消退，但也可采用其他治疗方法来帮助处理自行车运动员的尺神经压迫损伤。
