Carpal Tunnel Syndrome

被引:27
作者
Patijn, Jacob [1 ]
Vallejo, Ricardo [2 ]
Janssen, Markus [1 ]
Huygen, Frank [3 ]
Lataster, Arno [4 ]
van Kleef, Maarten [1 ]
Mekhail, Nagy [5 ]
机构
[1] Maastricht Univ, Dept Anesthesiol & Pain Management, Med Ctr, NL-6202 AZ Maastricht, Netherlands
[2] Millennium Pain Ctr, Bloomington, IL USA
[3] Erasmus Univ, Dept Anesthesiol & Pain Management, Med Ctr, Rotterdam, Netherlands
[4] Maastricht Univ, Dept Anat & Embryol, NL-6202 AZ Maastricht, Netherlands
[5] Cleveland Clin, Dept Pain Management, Cleveland, OH 44106 USA
关键词
evidence-based medicine; carpal tunnel syndrome; interventional pain treatment; STEROID INJECTION; RISK-FACTORS; DIAGNOSIS; SONOGRAPHY; GUIDELINES; AGE;
D O I
10.1111/j.1533-2500.2011.00457.x
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Carpal tunnel syndrome (CTS) is a common disorder. In the majority of cases, patients with CTS can be diagnosed by means of appropriate history taking. Nerve conduction examination of the nervus medianus is the most important additional diagnostic test and is the best predictor of symptom severity and functional status in idiopathic CTS. Treatment option depends on the severity of the symptoms and the degree of functional daily limitations. If few limitations are present, splinting or corticosteroid injections are preferred. Surgical interventions are reserved for the more severe conditions resulting in significant disability. Interventional pain treatment such as pulsed radiofrequency could be an addition to the future treatment options for CTS.
引用
收藏
页码:297 / 301
页数:5
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