Abstract:
:We retrospectively reviewed 12 patients (3 men and 9 women, with a mean age of 72 years) who were surgically treated for carpal tunnel syndrome associated with Kienböck disease. All patients except 1 were incidentally diagnosed with Kienböck disease and had little or no wrist pain. Radiographic tests revealed advanced Kienböck disease in all patients. Intraoperative findings indicated that the site of maximum compression on the median nerve was located at the level of the carpal tunnel inlet in 11 patients, and the volar dislocated fragment of the lunate was located proximally adjacent to the floor of the carpal tunnel inlet. This disorder is most prevalent in elderly women, and even advanced Kienböck disease can present without wrist pain. Our findings suggest that palmar protrusion of the lunate may be the primary cause of carpal tunnel syndrome associated with Kienböck disease.
journal_name
Nagoya J Med Scijournal_title
Nagoya journal of medical scienceauthors
Shinohara T,Nakamura R,Nakao E,Hirata Hsubject
Has Abstractpub_date
2016-08-01 00:00:00pages
267-73issue
3eissn
0027-7622issn
2186-3326journal_volume
78pub_type
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journal_title:Nagoya journal of medical science
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journal_title:Nagoya journal of medical science
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pub_type: 杂志文章,评审
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