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DOI: 10.1055/s-0029-1202839
© Georg Thieme Verlag KG Stuttgart · New York
Karpaltunnelsyndrom auf Grund einer Arteria mediana – Thrombose – Vier Fallbeispiele und Literaturzusammenfassung
Carpal Tunnel Syndrome from a Thrombosed Median Artery – Four Case Reports and Review of the LiteraturePublication History
eingereicht 5.2.2008
akzeptiert 25.12.2008
Publication Date:
25 March 2009 (online)
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Zusammenfassung
Die Ätiologie des Karpaltunnelsyndroms ist in den meisten Fällen unklar. In unserem Patientengut haben wir vier Fälle gefunden, bei denen eine thrombosierte Arteria mediana Ursache einer akuten Karpaltunnelsymptomatik war. Ziel dieser Arbeit ist der Vergleich unserer Fallbeispiele mit denen aus der vorhandenen Literatur sowie das Aufzeigen allfälliger Thromboseursachen und Risikofaktoren. Schlussfolgernd muss festgestellt werden, dass eine Arteria mediana-Thrombose sicherlich sehr selten ist, aber dass bei akut einsetzenden Karpaltunnelsymptomen, begleitet von über das normale Maß hinausgehenden Schmerzen, an diese Ursache gedacht werden muss. Präoperativ kann die Thrombose mittels Ultraschall festgestellt werden.
Abstract
The aetiology of the carpal tunnel syndrome is unknown in most cases. Among our patients we found four with acute thrombosis occurring in a persistent median artery which led to acute carpal tunnel symptoms. The purpose of this study was to compare our cases with those from the literature and to show possible causes for the thrombosis. In conclusion, thrombosis of a persistent median artery as a cause of acute carpal tunnel syndrome is certainly very rare. Sudden onset of pain, local tenderness at the palm and decreased sensation in the median nerve distribution may provide clues for the diagnosis. Prior to surgery ultrasound can be performed to confirm the diagnosis.
Schlüsselwörter
akutes Karpaltunnelsyndrom - Thrombose - persistierende Arteria mediana
Key words
acute carpal tunnel syndrome - thrombosis - persistent median artery
Literatur
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Korrespondenzadresse
Dr. Michèle Dutly-Guinand
Kantonsspital Liestal
Handchirurgie
Rheinstrasse 26
4410 Liestal
Switzerland
Email: mdjdutly@yahoo.com