Fontanesi G, Giancecchi F, Tartaglia I, Rotini R, Borgatti P P
Ital J Orthop Traumatol. 1986 Jun;12(2):207-15.
The various theories of carpal tunnel syndrome (CTS) are reviewed. The clinical and other features are compared and the results of surgical decompression and neurolysis reported in two groups of patients; 65 operations in "classical" CTS and 11 operations in patients on renal dialysis ("dialytic CTS"). Relief of pain and recovery of normal sensation was achieved in a high percentage of cases in both groups. Recovery of motor function was markedly better and quicker in the "dialytic" group, probably because deterioration was more rapid and therefore surgical intervention was carried out earlier. The pathological anatomy showed no significant overall difference between the two groups, except that in two of the renal dialysis patients granular deposits of myeloid substances were observed in the flexor tendon sheaths and on the walls of the carpal tunnel.
本文综述了腕管综合征（CTS）的各种理论。比较了两组患者的临床及其他特征，并报告了手术减压和神经松解的结果；“经典”CTS患者65例手术，肾透析患者（“透析性CTS”）11例手术。两组中大部分病例的疼痛缓解和正常感觉恢复情况良好。“透析性”组运动功能的恢复明显更好更快，可能是因为病情恶化更快，所以手术干预更早。病理解剖显示两组之间总体无显著差异，只是在两名肾透析患者中，在屈肌腱鞘和腕管壁上观察到了髓样物质的颗粒状沉积物。
