Levin R A, Felsenthal G
Arch Phys Med Rehabil. 1984 Jan;65(1):41-3.
Handcuff applications may result in compression of peripheral nerves at the wrist, and most reported cases involve only the superficial radial nerve. In this report, two cases of bilateral handcuff neuropathy involving multiple nerves were confirmed by electrodiagnostic findings of membrane instability, prolonged latencies and/or conduction block. In addition to the superficial radial nerves, one case involved the median nerves, and a second case the ulnar nerves. It was postulated that injury might occur to any nerve at the wrist as a result of pressure and edema from handcuffs, with the radial nerve most frequently involved due to its superficial location. Radial nerve injury has been described as functionally insignificant; however for the two cases presented, in which the median or ulnar nerves were involved, significant disability resulted, and a rehabilitation program was indicated.
使用手铐可能会导致手腕处的周围神经受压，大多数报告的病例仅涉及桡神经浅支。在本报告中，通过膜不稳定、潜伏期延长和/或传导阻滞的电诊断结果证实了两例涉及多条神经的双侧手铐性神经病。除桡神经浅支外，一例涉及正中神经，另一例涉及尺神经。据推测，由于手铐造成的压力和水肿，手腕处的任何神经都可能受到损伤，桡神经因其表浅位置而最常受累。桡神经损伤在功能上被认为无足轻重；然而，对于所呈现的两例涉及正中神经或尺神经的病例，导致了严重残疾，因此需要进行康复治疗。
