Okutsu I, Hamanaka I, Tanabe T, Takatori Y, Ninomiya S
Department of Orthopaedic Surgery, Japanese Red Cross Medical Center, Tokyo, Japan.
J Hand Surg Br. 1996 Oct;21(5):668-71. doi: 10.1016/s0266-7681(96)80157-4.
The roof of the carpal tunnel (or canal) consists of the distal portion of the flexor retinaculum, the flexor retinaculum (or the transverse carpal ligament) and the proximal portion of the flexor retinaculum. We tried to determine which anatomical structures were relevant to complete endoscopic carpal tunnel decompression in long-term haemodialysis patients with carpal tunnel syndrome. Carpal tunnel pressure was measured using the continuous infusion technique before and after endoscopic release of the flexor retinaculum, distal portion of the flexor retinaculum and the proximal portion of the flexor retinaculum respectively in 257 hands. We concluded that release of the distal portion of the flexor retinaculum, in addition to the flexor retinaculum, is essential for complete carpal tunnel decompression in long-term haemodialysis patients.
腕管（或腕管通道）的顶部由屈肌支持带的远端部分、屈肌支持带（或腕横韧带）以及屈肌支持带的近端部分组成。我们试图确定在患有腕管综合征的长期血液透析患者中，哪些解剖结构与完全内镜下腕管减压相关。分别在257只手中，于内镜下松解屈肌支持带、屈肌支持带远端部分以及屈肌支持带近端部分之前和之后，使用连续输注技术测量腕管压力。我们得出结论，对于长期血液透析患者，除了松解屈肌支持带外，松解屈肌支持带的远端部分对于完全的腕管减压至关重要。
