Konishiike T, Hashizume H, Nishida K, Inoue H, Nanba T
Department of Orthopaedic Surgery, Okayama University Medical School, Japan.
J Hand Surg Br. 1994 Oct;19(5):630-5. doi: 10.1016/0266-7681(94)90132-5.
Patients receiving haemodialysis for more than 10 years were selected for this study in order to clarify an apparent sequential association of cystic lesions of carpal bones and carpal tunnel syndrome. X-rays and computed tomographs of 138 hands of 69 patients revealed cystic radiolucency of carpal bones in 35% of the hands. Radiographs were classified into three groups: Group A--cyst growing, Group B--cyst not growing, and Group C--cyst absent. The prevalence of carpal tunnel syndrome was 100% (27/27) in Group A, 5.6% (1/18) in Group B, and 6.5% (6/93) in Group C. Growth of the cyst precedes the development of carpal tunnel syndrome by about 2 or 3 years. Growth of the bone cyst indicates that inflammation had already extended to the tenosynovium and median nerve. Cystic radio-lucency of the carpal bones appears to be a useful indicator of the onset of carpal tunnel syndrome.
为了阐明腕骨囊性病变与腕管综合征之间明显的先后关联，本研究选取了接受血液透析超过10年的患者。对69例患者的138只手进行X线和计算机断层扫描，结果显示35%的手出现腕骨囊性透亮区。X线片分为三组：A组——囊肿生长；B组——囊肿未生长；C组——无囊肿。A组腕管综合征的患病率为100%（27/27），B组为5.6%（1/18），C组为6.5%（6/93）。囊肿生长比腕管综合征的发生早约2至3年。骨囊肿的生长表明炎症已经蔓延至腱鞘和正中神经。腕骨的囊性透亮区似乎是腕管综合征发病的一个有用指标。
