Pfeffer G B, Gelberman R H, Boyes J H, Rydevik B
Hand Surgery Service, Massachusetts General Hospital, Boston.
J Hand Surg Br. 1988 Feb;13(1):28-34. doi: 10.1016/0266-7681_88_90046-0.
Carpal tunnel syndrome is the most frequently diagnosed, best understood and most easily treated entrapment neuropathy. During the first half of the 20th century, however, most patients with carpal tunnel syndrome were diagnosed as having compression of either the brachial plexus or thenar nerve motor branch of the median nerve. As late as 1950, only twelve patients with operative release of the transverse carpal ligament for idiopathic carpal tunnel syndrome had been reported. The delay in accurate anatomical localization of this compressive neuropathy can be attributed both to the confusion caused by the diverse manifestations of median nerve compression in the carpal tunnel, and to some interesting developments that altered early investigations in this area.
腕管综合征是最常被诊断、理解最充分且最易治疗的卡压性神经病。然而，在20世纪上半叶，大多数腕管综合征患者被诊断为臂丛神经或正中神经的鱼际神经运动支受压。直到1950年，仅有12例因特发性腕管综合征而行腕横韧带手术松解的患者被报道。这种卡压性神经病在准确解剖定位上的延迟，既归因于腕管内正中神经受压的多样表现所造成的混淆，也归因于一些改变了该领域早期研究的有趣进展。
