Roffe J L, Magalon G, Decaillet J M, Latil F, Bureau H
Nouv Presse Med. 1981 Apr 4;10(15):1205-8.
The authors review a series of 250 patients with carpal tunnel syndrome who were operated upon and followed up, and report on an experimental study of the effects of local corticosteroid injections on the nervous fiber. Predominant among the various causes of syndrome were the so-called "rheumatic" conditions, chiefly fibrous hypertrophic tenosynovitis. Therapeutic indications and medical and surgical treatments are discussed. The need for limiting local corticosteroid therapy to one single injection is emphasized, together with the safety of surgical incision, which can be performed under nerve block anaesthesia and only requires a one-day stay in hospital.
作者回顾了250例接受手术治疗并随访的腕管综合征患者，并报告了一项关于局部皮质类固醇注射对神经纤维影响的实验研究。该综合征各种病因中最主要的是所谓的“风湿性”疾病，主要是纤维增生性腱鞘炎。文中讨论了治疗指征以及内科和外科治疗方法。强调了将局部皮质类固醇治疗限制为单次注射的必要性，以及手术切口的安全性，该手术可在神经阻滞麻醉下进行，且只需住院一天。
