AN ANALYSIS OF THE FLEXOR SYNOVIUM IN IDIOPATHIC CARPAL-TUNNEL SYNDROME - REPORT OF 625 CASES

被引:68
作者
KERR, CD [1 ]
SYBERT, DR [1 ]
ALBARRACIN, NS [1 ]
机构
[1] DOCTORS HOSP,DEPT ORTHOPAED SURG,COLUMBUS,OH
来源
JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1992年 / 17A卷 / 06期
关键词
D O I
10.1016/S0363-5023(09)91053-X
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
This study was undertaken to determine the presence or absence of tenosynovitis in persons with idiopathic carpal tunnel syndrome. Eight hundred thirty-five consecutive operations for carpal tunnel syndrome were retrospectively reviewed, and 625 cases of idiopathic carpal tunnel syndrome were identified. Of these 96 % (601) had a synovial tissue histologic diagnosis of benign fibrous tissue without inflammation, 4 % (23) showed chronic inflammation, and 0.2 % (1) revealed evidence of acute inflammation. We believe that tenosynovitis is not a part of the pathophysiologic process in chronic idiopathic carpal tunnel syndrome. Further histologic analysis of the flexor synovium for pathologic changes other than inflammation is needed.
引用
收藏
页码:1028 / 1030
页数:3
相关论文
共 24 条
[1]  
McGrath MH, Local steroid therapy in the hand, J Hand Surg, 9 A, pp. 915-921, (1984)
[2]  
Tanzer RC, The carpal tunnel syndrome: a clinical and anatomical study, J Bone Joint Surg, 41 A, pp. 626-634, (1959)
[3]  
Bole GG, Monarticular rheumatism, Cecil's textbook of medicine, (1988)
[4]  
Bullough PG, Vigorita VJ, Atlas of orthopaedic pathology, (1984)
[5]  
Conklin JE, White WL, Stenosing tenosynovitis and its possible relation to carpal tunnel syndrome, Surg Clin North Am, 40, pp. 531-540, (1960)
[6]  
Wilson JD, Braunwald E, Isselbacher KJ, Et al., Harrison's principles of internal medicine, (1991)
[7]  
Kelley WN, Harris ED, Ruddy S, Sledge CB, Textbook of rheumatology, (1989)
[8]  
Lipscomb PR, Tenosynovitis of the hand and wrist: carpal tunnel syndrome, de Quervain's disease, trigger digit, ClinOrthop, 13, pp. 164-181, (1959)
[9]  
Lister G, The hand—diagnosis and indications, (1984)
[10]  
Milford L, Carpal tunnel and ulnar tunnel syndromes and stenosing tenosynovitis, Campbell's operative orthopaedics, (1987)