Pressure and nerve lesion in the carpal tunnel.

作者: Carl-Olof Werner , Dan Elmqvist , Per Ohlin

DOI: 10.3109/17453678308996576

关键词:

摘要: In 16 patients, where the diagnosis carpal tunnel syndrome was electrophysiologi-cally confirmed, pressure between median nerve and ligament measured peroperatively.At rest 18-64 mmHg, mean 31 mmHg. Passive volar dorsal wrist flexion increased about three times. Isometric or isotonic maximal contractions of finger muscles, elicited by tetanic stimulation to six times resting value. These high pressures may be one causes lesion in syndrome.

参考文章(11)
GEORGE S. PHALEN, The carpal tunnel syndrome. Journal of Bone and Joint Surgery, American Volume. ,vol. 48, pp. 211- 228 ,(1966) , 10.2106/00004623-196648020-00001
D. Neary, J. Ochoa, R.W. Gilliatt, Sub-clinical entrapment neuropathy in man. Journal of the Neurological Sciences. ,vol. 24, pp. 283- 298 ,(1975) , 10.1016/0022-510X(75)90248-8
Carl-Olof Werner, Fredrik Haeffner, Ingmar Ros�n, Direct recording of local pressure in the radial tunnel during passive stretch and active contraction of the supinator muscle. Archives of Orthopaedic and Trauma Surgery. ,vol. 96, pp. 299- 301 ,(1980) , 10.1007/BF00432870
George S. Phalen, The carpal-tunnel syndrome. Clinical evaluation of 598 hands. Clinical Orthopaedics and Related Research. ,vol. 83, pp. 29- 40 ,(1972) , 10.1097/00003086-197203000-00007
BjÖRn Rydevik, GÖRan Lundborg, Permeability of Intraneural Microvessels and Perineurium Following Acute, Graded Experimental Nerve Compression Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery. ,vol. 11, pp. 179- 187 ,(1977) , 10.3109/02844317709025516
J. Ochoa, Lauren Marotte, The nature of the nerve lesion caused by chronic entrapment in the guinea-pig Journal of the Neurological Sciences. ,vol. 19, pp. 491- 495 ,(1973) , 10.1016/0022-510X(73)90045-2
R H Gelberman, P T Hergenroeder, A R Hargens, G N Lundborg, W H Akeson, The carpal tunnel syndrome. A study of carpal canal pressures. Journal of Bone and Joint Surgery, American Volume. ,vol. 63, pp. 380- 383 ,(1981) , 10.2106/00004623-198163030-00009
F. Buchthal, A. Rosenfalck, W. Trojaborg, Electrophysiological findings in entrapment of the median nerve at wrist and elbow Journal of Neurology, Neurosurgery, and Psychiatry. ,vol. 37, pp. 340- 360 ,(1974) , 10.1136/JNNP.37.3.340
M. Q. BIRKBECK, T. C. BEER, OCCUPATION IN RELATION TO THE CARPAL TUNNEL SYNDROME Egyptian Rheumatology and Rehabilitation. ,vol. 14, pp. 218- 221 ,(1975) , 10.1093/RHEUMATOLOGY/14.4.218
F. H. Bentley, W. Schlapp, The effects of pressure on conduction in peripheral nerve The Journal of Physiology. ,vol. 102, pp. 72- 82 ,(1943) , 10.1113/JPHYSIOL.1943.SP004016