Bureau H, Magalon G, Roffe J L
J Chir (Paris). 1982 Dec;119(12):739-47.
The authors have reviewed 250 cases of carpal tunnel syndrome operated upon in a series of more than 400 cases. They also describe the results of an experimental study of the effects of locally injected corticosteroids on nervous fibers. Following a brief historical introduction, a detailed anatomical description is provided, with emphasis on congenital variations. The pathological, histological and clinical features of the disease are reviewed in the light of modern concepts of nerve compression. The cases in this series are classified according to their cause, among which idiopathic hypertrophic tenosynovitis was predominant. With regard to treatment, the authors conclude from their experience that repeated local injections of corticosteroids are dangerous, whereas surgical treatment is harmless and can be performed on out-patients under regional anaesthesia.
作者回顾了400多例手术治疗的腕管综合征病例中的250例。他们还描述了局部注射皮质类固醇对神经纤维影响的实验研究结果。在简要介绍了历史背景之后，给出了详细的解剖学描述，重点是先天性变异。根据现代神经受压概念，对该疾病的病理、组织学和临床特征进行了综述。本系列病例根据病因进行分类，其中特发性肥厚性腱鞘炎最为常见。关于治疗，作者根据他们的经验得出结论，反复局部注射皮质类固醇是危险的，而手术治疗是无害的，可在区域麻醉下对门诊患者进行。
