GANGLION CYSTS AND CARPAL-TUNNEL SYNDROME
GANGLION CYSTS AND CARPAL-TUNNEL SYNDROME
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DOI：
10.1016/s0363-5023(88)80144-8
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发表时间：
1988-09-01
影响因子：
1.9
通讯作者：
JAEGER, SH
中科院分区：
文献类型：
--
作者：
KERRIGAN, JJ;BERTONI, JM;JAEGER, SH
我们回顾了12例腱鞘囊肿与腕管综合征的11例患者看到的手康复中心。平均年龄为42岁（范围：28 - 60岁）。一半的囊肿与直接创伤有关，通常伴有腕关节过伸。症状通常在囊肿出现或突然生长后出现。运动传导或远端感觉潜伏期异常的8例研究中的7例。囊肿穿刺时Tinel征可能是本病的特征性征象。囊肿摘除及屈肌支持带切开术11例症状缓解。另1例囊肿自发破裂后完全消退。这种综合征可以通过囊肿减压术和腕管松解术成功治疗，预后良好。据我们所知，这是腕管综合征和腱鞘囊肿最大的手术系列。
We review 12 cases of ganglion cyst with carpal tunnel syndrome in 11 patients seen at the Hand Rehabilitation Center. Mean age was 42 years (Range, 28 to 60 years). One half of the cysts were associated with direct trauma, usually with wrist hyperextension. Symptoms usually developed after the appearance or sudden growth of the cyst. Motor conduction or distal sensory latency was abnormal in seven of eight studied cases. Tinel''s sign on tapping the cyst may be pathognomonic for this syndrome. Cyst removal and incision of the flexor retinaculum relieved the symptoms in 11 cases. The other case had total resolution after spontaneous cyst rupture. This syndrome is successfully treated with cyst decompression with release of the carpal canal and has an excellent prognosis. To our knowledge this represents the largest operative series of carpal tunnel syndrome and ganglion cyst.