CARPAL-TUNNEL SYNDROME IN PARAPLEGIC PATIENTS
CARPAL-TUNNEL SYNDROME IN PARAPLEGIC PATIENTS
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DOI：
10.1038/sc.1985.31
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发表时间：
1985-01-01
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影响因子：
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通讯作者：
JOHNSON, B
中科院分区：
文献类型：
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作者：
ALJURE, J;ELTORAI, I;JOHNSON, B
腕部正中神经压迫（腕管综合征）通常与屈肌支持带周围的局部创伤有关。重复的体力活动也会加重疾病的严重程度。我们进行了一项前瞻性研究腕管综合征（CTS）的发病率在47截瘫患者谁使用他们的手广泛的日常活动。由于手术减压通常能很好地缓解症状，因此早期发现CTS对这些患者尤为重要。在研究的47例患者中，19例有临床CTS（40%）。对91只手（神经）进行正中神经和尺神经的运动和感觉神经传导测试。57只手（63%）出现CTS的电生理证据。CTS的发生率似乎与脊髓损伤的持续时间有关。19例患者（40%）出现肘部并发尺神经病变。这些患者均无糖尿病等易感因素，压缩性神经病变表现为纯机械性。
Median nerve compression at the wrist (Carpal Tunnel Syndrome) is commonly associated with local trauma around the flexor retinaculum. Repeated manual activity also exacerbates the disease severity. We undertook a prospective study of the incidence of Carpal Tunnel Syndrome (CTS) in 47 paraplegic patients who have used their hands extensively for daily activity. Since surgical decompression generally provides excellent relief of symptoms, early detection of CTS will be particularly important in these patients. Of the 47 patients studied, 19 had clinical CTS (40%). A total of 91 hands (nerves) were tested with motor and sensory nerve conduction of the median and ulnar nerves. Electrophysiological evidence of CTS was noted in 57 hands (63%). The incidence of CTS appears to be related to the duration of Spinal Cord Injury. Concurrent ulnar neuropathy at the elbow was noted in 19 patients (40%). There was no predisposing factor such as diabetes mellitus in any of these patients, and the compressive neuropathy appears to be purely mechanical.