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Journal of Hand Surgery (British and European Volume)
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Articles

Relationship of Carpal Canal Contents Volume to Carpal Canal Pressure in Carpal Tunnel Syndrome Patients

A. YOSHIDA
I. OKUTSU

From the Department of Orthopaedic Surgery, Japanese Red Cross Medical Center, Shibuya-Ku, Tokyo, Japan

Correspondence: Dr Aya Yoshida, MD, Department of Orthopaedic Surgery, Japanese Red Cross Medical Center, 4-1-22, Hiroo, Shibuya-Ku, Tokyo 150-8935, Japan. Tel.: +81-3-5394-6488; fax: +81-3-5394-6489; E-mail: ayayoshida{at}msj.biglobe.ne.jp

Forty patients long-term haemodialysis with a second recurrence of carpal tunnel syndrome and concomitant loss of flexor tendon function due to flexor adhesions were treated by excision of the flexor digitorum superficialis tendons. During the procedure the carpal canal pressure was measured using a continuous infusion technique. The preoperative mean carpal canal pressure was 81 (SD, 53) mmHg. After removal of all the flexor digitorum superficialis tendons, the carpal canal pressure decreased to 10 (SD, 8) mmHg. The clinical symptoms of carpal tunnel syndrome were relieved and hand strength and finger motion were improved in all patients.

Key Words: carpal canal pressure • carpal tunnel syndrome • carpal canal volume • MRI • long-term haemodialysis

Journal of Hand Surgery (British and European Volume), Vol. 29, No. 3, 275-278 (2004)
DOI: 10.1016/J.JHSB.2004.02.001
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