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Tophic Tenosynovitis Induced Carpal Tunnel Syndrome and Wrist Ulnar Neuropathy-A Case Report

痛風性筋膜炎引發腕道症候馴群併發腕部尺神經病變:一病例報告

摘要


腕道症候群是常見之腕部疾病,常見於風濕性關節炎,糖尿病,無名肌肉及腕部創傷等疾病,痛風為較罕見之原因。腕管隧道症候群其機轉為正中神經受到壓迫而表現出種種神經症狀,回顧文獻因痛風性筋膜炎而造成同時發生腕管隧道症候群與尺神經病變之案例極為罕見,我們提出一案例報告並同時回顧其治療方法及併發症。

關鍵字

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並列摘要


Compression neuropathy induced by tophic tenosynovitis in upper extremity is uncommon. In one rare occasion of carpal tunnel syndrome, tophic tenosynovitis in the carpal tunnel have been found to induce median neuropathy as well as ulnar neuropathy in the wrist. After extensive removal of the tophic tenosynovial sheath and relief of the carpal tunnel and Guyon's canal, the patient over the following year recovered from the peripheral nerve compression syndrome.

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