Pathomechanics of Peripheral Nerve Loading: Evidence in Carpal Tunnel Syndrome

作者: Peter J. Keir , David M. Rempel

DOI: 10.1197/J.JHT.2005.02.001

关键词:

摘要: Peripheral nerve injury is a common occurrence, with carpal tunnel syndrome (CTS) receiving the most attention. Nerve dysfunction associated compression syndromes results from an interruption or localized interference of microvascular function due to structural changes in nerves surrounding tissues. This article reviews physiologic, pathophysiologic, and histologic effects compressing peripheral animal models, then examines evidence for similar processes humans using CTS as model.

参考文章(107)
SHIGEHARU UCHIYAMA, PETER C. AMADIO, J. HENK COERT, LARRY J. BERGLUND, KAI-NAN AN, Gliding resistance of extrasynovial and intrasynovial tendons through the A2 pulley. Journal of Bone and Joint Surgery, American Volume. ,vol. 79, pp. 219- 224 ,(1997) , 10.2106/00004623-199702000-00009
Anderson Wh, Smith Em, Sonstegard Da, Carpal tunnel syndrome: contribution of flexor tendons Archives of Physical Medicine and Rehabilitation. ,vol. 58, pp. 379- 385 ,(1977)
Lars B. Dahlin, Göran Lundborg, Anatomy, function, and pathophysiology of peripheral nerves and nerve compression. Hand Clinics. ,vol. 12, pp. 185- 193 ,(1996) , 10.1016/S0749-0712(21)00303-6
G Lundborg, Structure and function of the intraneural microvessels as related to trauma, edema formation, and nerve function. Journal of Bone and Joint Surgery, American Volume. ,vol. 57, pp. 938- 948 ,(1975) , 10.2106/00004623-197557070-00011
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
J Ochoa, T J Fowler, R W Gilliatt, Anatomical changes in peripheral nerves compressed by a pneumatic tourniquet. Journal of Anatomy. ,vol. 113, pp. 433- 455 ,(1972)
Thomas Pk, The connective tissue of peripheral nerve: an electron microscope study. Journal of Anatomy. ,vol. 97, pp. 35- 44 ,(1963)
Myron M. LaBan, Neil A. Friedman, Gregory A. Zemenick, "Tethered" median nerve stress test in chronic carpal tunnel syndrome. Archives of Physical Medicine and Rehabilitation. ,vol. 67, pp. 803- 804 ,(1986) , 10.5555/URI:PII:0003999386901565
N D Weiss, L Gordon, T Bloom, Y So, D M Rempel, Position of the Wrist Associated with the Lowest Carpal-Tunnel Pressure: Implications for Splint Design* Journal of Bone and Joint Surgery, American Volume. ,vol. 77, pp. 1695- 1699 ,(1995) , 10.2106/00004623-199511000-00008
SHIGEHARU UCHIYAMA, PETER C. AMADIO, JUN-ICHI ISHIKAWA, KAI-NAN AN, Boundary lubrication between the tendon and the pulley in the finger Journal of Bone and Joint Surgery, American Volume. ,vol. 79, pp. 213- 218 ,(1997) , 10.2106/00004623-199702000-00008