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Carpal tunnel syndrome in juvenile rheumatoid arthritis

Das Karpaltunnelsyndrom in chronischer juveniler Polyarthritis

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Archiv für orthopädische und Unfall-Chirurgie, mit besonderer Berücksichtigung der Frakturenlehre und der orthopädisch-chirurgischen Technik Aims and scope Submit manuscript

Zusammenfassung

Die Möglichkeit des Karpaltunnelsyndroms (KTS) bei Kindern ist im allgemeinen nicht bekannt. Nur 11 Fälle sind veröffentlicht. In einigen Fällen ist die wahrscheinliche Grunddiagnose juvenile primär chronische Polyarthritis (jpcP). Die Verfasser stellen ein Material von 22 operierten Händen an 14 Patienten unter 15 Jahren, 9 Mädchen und 5 Knaben, vor. Alle litten an sicher verifizierter jpcP. Die häufigsten Symptome waren Atrophie der Thenarmuskeln und Tenosynovitis auf der Volarseite des Handgelenks. Im Gegensatz zu dem KTS bei Erwachsenen sind Sensibilitätsstörungen selten. Einseitige Fälle gehören zu dem oligoartikulären Typus der Krankheit mit milderem Verlauf. Die Thenaratrophie kann bei Kindern noch heilen, was bei Erwachsenen nicht möglich ist. Frühzeitige Diagnose und Befreiung des Nervus medianus werden empfohlen.

Summary

The frequency of carpal tunnel syndrome in children is not generally appreciated. Only 11 cases have been published. In part of them the probable diagnosis was juvenile rheumatoid arthritis (JRA). A series of 22 operated hands in 14 patients under 15 years is presented. All patients, 9 girls and 5 boys, were suffering from definitely diagnosed JRA. The most common symptoms are atrophy of the thenar muscles and tenosynovial masses at the volar side of the wrist. Contrary to the adult patients, sensory disturbances are rare and thenar atrophy can recover. Unilateral cases seem to occur in oligoarticular, slowly progressing type of the disease. Early diagnosis and decompression are emphasized.

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Authors and Affiliations

  1. Rheumatism Foundation Hospital, Heinola, Finland

    K. Ishikawa, H. Pätiälä, P. Raunio & K. Vainio

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  1. K. Ishikawa
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  2. H. Pätiälä
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  3. P. Raunio
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  4. K. Vainio
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Ishikawa, K., Pätiälä, H., Raunio, P. et al. Carpal tunnel syndrome in juvenile rheumatoid arthritis. Arch orthop Unfall-Chir 82, 85–91 (1975). https://doi.org/10.1007/BF00418264

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  • DOI: https://doi.org/10.1007/BF00418264

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