Olerud C, Lönnquist L
Injury. 1984 Nov;16(3):198-9. doi: 10.1016/0020-1383(84)90160-8.
A case of acute carpal tunnel syndrome in a 19-year-old girl is described. She sustained undisplaced fractures of the right scaphoid and 5th metacarpal bones during a motorcycle collision with a deer. The carpal tunnel syndrome developed within 3 hours of the accident and the diagnosis was easily established since she developed intense pain in her wrist, together with paraesthesiae in the distribution of the median nerve. The carpal tunnel was decompressed within 1 hour of the onset of the symptoms, revealing a fracture haematoma under pressure. The pain disappeared immediately and the sensation was next to normal within 12 hours and completely normal within 3 weeks.
本文描述了一名19岁女孩的急性腕管综合征病例。她在骑摩托车与一头鹿相撞时,右手舟骨和第五掌骨发生无移位骨折。事故发生后3小时内出现了腕管综合征,由于她手腕剧烈疼痛,同时正中神经分布区域出现感觉异常,诊断很容易确定。症状出现后1小时内对腕管进行了减压,发现有受压的骨折血肿。疼痛立即消失,12小时内感觉近乎正常,3周内完全恢复正常。