{"title":"[腕管综合征-病因及治疗]。","authors":"Maksymilian Gniadek, Marek Trybus","doi":"","DOIUrl":null,"url":null,"abstract":"<p><p>The paper presents the etiology, diagnostics,\nmanagement, treatment and\nprognosis of carpal tunnel syndrome.\nThe mechanism of the median nerve\ncompression as well as the predisposing\nfactors that cause the syndrome\nare discussed, as well as the sequence\nof specific symptoms and the classification\nof the level of severity of\ndisease. The diagnostic methods are\npresented with both the benefits and\nconsequences of each method. The\ntreatment of carpal tunnel syndrome is\ndivided into conservative and surgical\napproaches. Conservative treatment\nconsists of keeping the wrist immobile\nusing wrist splints, physiotherapy, systemic\nand local pharmacotherapy, as\nwell as local steroid injections into the\ncarpal tunnel. The results of conservative\ntreatment are often short-term.\nOperative treatment consists of cutting\nthe flexor retinaculum tendon. This directly\neliminates the cause of CTS, the\nincreased pressure in the carpal tunnel\nof the wrist. A certain percentage\nof patients experience complications\npost treatment or disease recurrence.</p>","PeriodicalId":21148,"journal":{"name":"Przeglad lekarski","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[Carpal tunnel syndrome- etiology and treatment].\",\"authors\":\"Maksymilian Gniadek, Marek Trybus\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>The paper presents the etiology, diagnostics,\\nmanagement, treatment and\\nprognosis of carpal tunnel syndrome.\\nThe mechanism of the median nerve\\ncompression as well as the predisposing\\nfactors that cause the syndrome\\nare discussed, as well as the sequence\\nof specific symptoms and the classification\\nof the level of severity of\\ndisease. The diagnostic methods are\\npresented with both the benefits and\\nconsequences of each method. The\\ntreatment of carpal tunnel syndrome is\\ndivided into conservative and surgical\\napproaches. Conservative treatment\\nconsists of keeping the wrist immobile\\nusing wrist splints, physiotherapy, systemic\\nand local pharmacotherapy, as\\nwell as local steroid injections into the\\ncarpal tunnel. The results of conservative\\ntreatment are often short-term.\\nOperative treatment consists of cutting\\nthe flexor retinaculum tendon. This directly\\neliminates the cause of CTS, the\\nincreased pressure in the carpal tunnel\\nof the wrist. A certain percentage\\nof patients experience complications\\npost treatment or disease recurrence.</p>\",\"PeriodicalId\":21148,\"journal\":{\"name\":\"Przeglad lekarski\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2016-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Przeglad lekarski\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Przeglad lekarski","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
The paper presents the etiology, diagnostics,
management, treatment and
prognosis of carpal tunnel syndrome.
The mechanism of the median nerve
compression as well as the predisposing
factors that cause the syndrome
are discussed, as well as the sequence
of specific symptoms and the classification
of the level of severity of
disease. The diagnostic methods are
presented with both the benefits and
consequences of each method. The
treatment of carpal tunnel syndrome is
divided into conservative and surgical
approaches. Conservative treatment
consists of keeping the wrist immobile
using wrist splints, physiotherapy, systemic
and local pharmacotherapy, as
well as local steroid injections into the
carpal tunnel. The results of conservative
treatment are often short-term.
Operative treatment consists of cutting
the flexor retinaculum tendon. This directly
eliminates the cause of CTS, the
increased pressure in the carpal tunnel
of the wrist. A certain percentage
of patients experience complications
post treatment or disease recurrence.