Bouvier M, Lejeune E, Rouillat M, Marionnet J
Rev Rhum Mal Osteoartic. 1979 Mar;46(3):169-76.
On the basis of 3 personal cases and 13 cases in the literature, the authors carried out a study of these rare forms of the carpal tunnel syndrome. The syndrome itself generally has a unique character marked on the etiologic level by a frequent occurrence of unilateral and post-traumatic forms, and on the clinical level by the existence of severe sensitivo-motor, vasomotor and trophic problems; it rarely resembles Raynaud's syndrome. The cutaneous lesion most often appears as a torpid ulceration located on the forefinger and/or the second finger and involving the palmar surface or the sub-ungual region of the 3rd phalanx. Cutting of the ligament of the middle finger, whether or not accompanied by an additional surgical act, is almost always followed by a regression of the classical signs and the curing of the ulcerations.
基于3例个人病例及文献中的13例病例，作者对腕管综合征的这些罕见类型进行了研究。该综合征本身通常具有独特特征，在病因层面上，其常见单侧及创伤后形式；在临床层面上，则存在严重的感觉运动、血管舒缩及营养问题；它很少类似雷诺综合征。皮肤病变最常表现为位于食指和/或中指且累及第三指骨掌面或甲下区域的慢性溃疡。切断中指韧带，无论是否伴有额外手术操作，几乎总会使经典症状消退且溃疡愈合。
