Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada.
Kettering Health Network Orthopaedic Surgery Residency, Dayton, Ohio.
JBJS Rev. 2020 Feb;8(2):e0087. doi: 10.2106/JBJS.RVW.19.00087.
Carpal tunnel syndrome is the most common compression neuropathy. Despite the prevalence of carpal tunnel syndrome, many other conditions present with similar symptoms (numbness, tingling, thenar atrophy, and weakness). Carpal tunnel syndrome is differentiated from other etiologies through a detailed history and physical examination, aided by electrodiagnostic and adjunctive imaging studies. Misdiagnosis can lead to unnecessary operative procedures and persistent symptoms.
腕管综合征是最常见的压迫性神经病变。尽管腕管综合征很常见,但许多其他疾病也会出现类似的症状(麻木、刺痛、鱼际肌萎缩和无力)。通过详细的病史和体格检查,结合电诊断和辅助影像学研究,可以将腕管综合征与其他病因区分开来。误诊可能导致不必要的手术和持续的症状。