Skip to main content
Top

2006 | OriginalPaper | Hoofdstuk

1a Addendum: het carpaletunnelsyndroom

Auteur : Koos van Nugteren

Gepubliceerd in: Onderzoek en behandeling van de hand – het polsgewricht

Uitgeverij: Bohn Stafleu van Loghum

share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Samenvatting

Het carpaletunnelsyndroom omvat een complex van verschijnselen die het gevolg is van compressie van de n. medianus in de carpale tunnel. Deze compressie kan vele oorzaken hebben en men dient dan ook alert te zijn op ‘veroorzakende’ nevenpathologie. Wanneer geen nevenaandoeningen worden gevonden spreekt met van een idiopathischcarpaletunnelsyndroom.
Voetnoten
1
Apraxia: Grieks voor onwerkzaamheid.
 
2
Tmesis is afgeleid van het Griekse woord temnein = snijden.
 
3
Een zich herstellende zenuw na axonotmesis groeit 0,5-3 mm per dag.
 
4
Tendinose: degeneratie van de pees.
 
5
Tendinitis: ontsteking (inflammatie) van de pees.
 
6
NB: de m. opponens is voornamelijk een ‘n. ulnaris’-spier. Vermoedelijk is oppositie van de duim bij het ‘pakken’ van voorwerpen lastig doordat daarbij ook abductie moet plaatsvinden.
 
7
NB: de mm. lumbricales I en II worden door de n. medianus geïnnerveerd. De m. adductor pollicis wordt geïnnerveerd door de n. ulnaris.
 
8
Een EMG-onderzoek bestaat gewoonlijk uit een zenuwgeleidingsonderzoek en een elektromyografie. Het zenuwgeleidingsonderzoek is voor het diagnosticeren van een carpaletunnelsyndroom voldoende.
 
9
Bijvoorbeeld bij verdenking op structurele afwijkingen zoals in het geval van een hematoom, cyste, tumor, (teno)synovitis of een anatomische variant.
 
10
Deze aandoening wordt waarschijnlijk veroorzaakt door ontsteking van een deel van de plexus brachialis als gevolg van een auto-immuunproces.
 
11
CRPS: Complex Regionaal Pijn Syndroom
 
12
Op lange termijn (18 maanden) trad algehele verbetering op bij 90% van de geopereerde groep versus 75% van de gespalkte groep van onderzochte patiënten.
 
13
Het onderzoek van Demirci toonde na zes maanden een achteruitgang bij 20% van de patiënten die geïnjecteerd waren met corticosteroïden.
 
Literatuur
1.
go back to reference Becker J, Nora DB, Gomes I, Stringari FF, Seitensus R, Panosso JS, Ehlers JC. An evaluation of gender, obesity, age and diabetes mellitus as risk factors for carpal tunnel syndrome. Clin Neurophysiol 2002 Sep;113(9):1429-34. Becker J, Nora DB, Gomes I, Stringari FF, Seitensus R, Panosso JS, Ehlers JC. An evaluation of gender, obesity, age and diabetes mellitus as risk factors for carpal tunnel syndrome. Clin Neurophysiol 2002 Sep;113(9):1429-34.
2.
go back to reference Conceptrichtlijn ‘Diagnostiek en behandeling van het carpaletunnelsyndroom’. Amersfoort: KNGF, 2006. Conceptrichtlijn ‘Diagnostiek en behandeling van het carpaletunnelsyndroom’. Amersfoort: KNGF, 2006.
3.
go back to reference Kouyoumdjian JA, Zanetta DM, Morita MP. Evaluation of age, body mass index, and wrist index as risk factors for carpal tunnel syndrome severity. Muscle Nerve 2002 Jan;25(1):93-7. Kouyoumdjian JA, Zanetta DM, Morita MP. Evaluation of age, body mass index, and wrist index as risk factors for carpal tunnel syndrome severity. Muscle Nerve 2002 Jan;25(1):93-7.
4.
go back to reference Pazzaglia C, Caliandro P, Aprile I, Mondelli M, Foschini M, Tonali PA, Padua L.; Italian CTS and others entrapment Study Group. Multicenter study on carpal tunnel syndrome and pregnancy incidence and natural course. Acta Neurochir Suppl 2005;92:35-9. Pazzaglia C, Caliandro P, Aprile I, Mondelli M, Foschini M, Tonali PA, Padua L.; Italian CTS and others entrapment Study Group. Multicenter study on carpal tunnel syndrome and pregnancy incidence and natural course. Acta Neurochir Suppl 2005;92:35-9.
5.
go back to reference Dijk MA van, Reitsma JB, Fischer JC, Sanders GT. Indications for requesting laboratory tests for concurrent diseases in patients with carpal tunnel syndrome: a systematic review. Clin Chem 2003 Sep;49(9):1437-44. Dijk MA van, Reitsma JB, Fischer JC, Sanders GT. Indications for requesting laboratory tests for concurrent diseases in patients with carpal tunnel syndrome: a systematic review. Clin Chem 2003 Sep;49(9):1437-44.
6.
go back to reference Sunderland S. A classification of peripheral nerve injuries producing loss of function. Brain 1951;74:491-516. Sunderland S. A classification of peripheral nerve injuries producing loss of function. Brain 1951;74:491-516.
7.
go back to reference Nora DB, Becker J, Ehlers JA, Gomes I. What symptoms are truly caused by median nerve compression in carpal tunnel syndrome? Clin Neurophysiol 2005 Feb;116(2):275-83. Nora DB, Becker J, Ehlers JA, Gomes I. What symptoms are truly caused by median nerve compression in carpal tunnel syndrome? Clin Neurophysiol 2005 Feb;116(2):275-83.
8.
go back to reference Gupta SK, Benstead TJ. Symptoms experienced by patients with carpal tunnel syndrome. Can J Neurol Sci 1997 Nov;24(4):338-42. Gupta SK, Benstead TJ. Symptoms experienced by patients with carpal tunnel syndrome. Can J Neurol Sci 1997 Nov;24(4):338-42.
9.
go back to reference Stevens JC, Smith BE, Weaver AL, Bosch EP, Deen HG Jr, Wilkens JA. Symptoms of 100 patients with electromyographically verified carpal tunnel syndrome. Muscle Nerve 1999 Oct;22(10):1448-56. Stevens JC, Smith BE, Weaver AL, Bosch EP, Deen HG Jr, Wilkens JA. Symptoms of 100 patients with electromyographically verified carpal tunnel syndrome. Muscle Nerve 1999 Oct;22(10):1448-56.
10.
go back to reference Ansink BJJ. Het carpaletunnelsyndroom. Het polsgewricht. Rijswijk: Smith-Kline Beecham Farma, 1992: p. 19-21. Ansink BJJ. Het carpaletunnelsyndroom. Het polsgewricht. Rijswijk: Smith-Kline Beecham Farma, 1992: p. 19-21.
11.
go back to reference Watson HK, Weinzweig J. The wrist. Philadelphia: Lippincott Williams & Wilkins, 2001. Watson HK, Weinzweig J. The wrist. Philadelphia: Lippincott Williams & Wilkins, 2001.
12.
go back to reference Spinner RJ, Bachman JW, Amadio PC. Mayo Clin Proc. 1989 Jul;64(7):829-36. The many faces of carpal tunnel syndrome. 1989 Jul;64(7):829-36. Spinner RJ, Bachman JW, Amadio PC. Mayo Clin Proc. 1989 Jul;64(7):829-36. The many faces of carpal tunnel syndrome. 1989 Jul;64(7):829-36.
13.
go back to reference Pierre-Jerome C, Bekkelund SI. Magnetic resonance assessment of the double-crush phenomenon in patients with carpal tunnel syndrome: a bilateral quantitative study. Scand J Plast Reconstr Surg Hand Surg 2003;37(1):46-53. Pierre-Jerome C, Bekkelund SI. Magnetic resonance assessment of the double-crush phenomenon in patients with carpal tunnel syndrome: a bilateral quantitative study. Scand J Plast Reconstr Surg Hand Surg 2003;37(1):46-53.
14.
go back to reference Richardson JK, Forman GM, Riley B. An electrophysiological exploration of the double crush hypothesis. Muscle Nerve 1999 Jan;22(1):71-7. Richardson JK, Forman GM, Riley B. An electrophysiological exploration of the double crush hypothesis. Muscle Nerve 1999 Jan;22(1):71-7.
15.
go back to reference Kwon HK, Hwang M, Yoon DW. Frequency and severity of carpal tunnel syndrome according to level of cervical radiculopathy: Double crush syndrome? Clin Neurophysiol 2006 Apr 4. Kwon HK, Hwang M, Yoon DW. Frequency and severity of carpal tunnel syndrome according to level of cervical radiculopathy: Double crush syndrome? Clin Neurophysiol 2006 Apr 4.
16.
go back to reference Andersen JH, Thomsen JF, Overgaard E, Lassen CF, Brandt LP, Vilstrup I, Kryger AI, Mikkelsen S. Computer use and carpal tunnel syndrome: a 1-year follow-up study. JAMA 2003 Jun 11;289(22):2963-9. Andersen JH, Thomsen JF, Overgaard E, Lassen CF, Brandt LP, Vilstrup I, Kryger AI, Mikkelsen S. Computer use and carpal tunnel syndrome: a 1-year follow-up study. JAMA 2003 Jun 11;289(22):2963-9.
17.
go back to reference Stapleton MJ. Occupation and carpal tunnel syndrome. ANZ J Surg 2006 Jun;76(6):494-6. Stapleton MJ. Occupation and carpal tunnel syndrome. ANZ J Surg 2006 Jun;76(6):494-6.
18.
go back to reference Liu CW, Chen TW, Wang MC, Chen CH, Lee CL, Huang MH. Relationship between carpal tunnel syndrome and wrist angle in computer workers. Kaohsiung J Med Sci 2003 Dec;19(12):617-23. Liu CW, Chen TW, Wang MC, Chen CH, Lee CL, Huang MH. Relationship between carpal tunnel syndrome and wrist angle in computer workers. Kaohsiung J Med Sci 2003 Dec;19(12):617-23.
19.
go back to reference De Angelis R, Salaffi F, Filippucci E, Grassi W. [Carpal tunnel syndrome treatment.] Reumatismo 2006 Jan Mar;58(1):5-10. De Angelis R, Salaffi F, Filippucci E, Grassi W. [Carpal tunnel syndrome treatment.] Reumatismo 2006 Jan Mar;58(1):5-10.
20.
go back to reference O’Connor D, Marshall S, Massy-Westropp N. Non-surgical treatment (other than steroid injection) for carpal tunnel syndrome. Cochrane Database Syst Rev 2003;(1):CD003219. O’Connor D, Marshall S, Massy-Westropp N. Non-surgical treatment (other than steroid injection) for carpal tunnel syndrome. Cochrane Database Syst Rev 2003;(1):CD003219.
21.
go back to reference Premoselli S, Sioli P, Grossi A, Cerri C. Neutral wrist splinting in carpal tunnel syndrome: a 3- and 6-months clinical and neurophysiologic follow-up evaluation of night-only splint therapy. Eura Medicophys 2006 Jun;42(2):121-6. Premoselli S, Sioli P, Grossi A, Cerri C. Neutral wrist splinting in carpal tunnel syndrome: a 3- and 6-months clinical and neurophysiologic follow-up evaluation of night-only splint therapy. Eura Medicophys 2006 Jun;42(2):121-6.
22.
go back to reference Ebenbichler GR, Resch KL, Nicolakis P, Wiesinger GF, Uhl F, Ghanem AH, Fialka V. Ultrasound treatment for treating the carpal tunnel syndrome: randomised ‘sham’ controlled trial. BMJ 1998 Mar 7;316(7133):731-5. Ebenbichler GR, Resch KL, Nicolakis P, Wiesinger GF, Uhl F, Ghanem AH, Fialka V. Ultrasound treatment for treating the carpal tunnel syndrome: randomised ‘sham’ controlled trial. BMJ 1998 Mar 7;316(7133):731-5.
23.
go back to reference Bakhtiary AH, Rashidy-Pour A. Ultrasound and laser therapy in the treatment of carpal tunnel syndrome. Aust J Physiother 2004;50(3):147-51. Bakhtiary AH, Rashidy-Pour A. Ultrasound and laser therapy in the treatment of carpal tunnel syndrome. Aust J Physiother 2004;50(3):147-51.
24.
go back to reference Chang MH, Chiang HT, Lee SS, Ger LP, Lo YK. Oral drug of choice in carpal tunnel syndrome. Neurology 1998 Aug;51(2):390-3. Chang MH, Chiang HT, Lee SS, Ger LP, Lo YK. Oral drug of choice in carpal tunnel syndrome. Neurology 1998 Aug;51(2):390-3.
25.
go back to reference Weiss ND, Gordon L, Bloom T, So Y, Rempel DM. Position of the wrist associated with the lowest carpal tunnel pressure: implications for splint design. J Bone Joint Surg Am 1995 Nov;77(11):1695-9. Weiss ND, Gordon L, Bloom T, So Y, Rempel DM. Position of the wrist associated with the lowest carpal tunnel pressure: implications for splint design. J Bone Joint Surg Am 1995 Nov;77(11):1695-9.
26.
go back to reference Burke DT, Burke MM, Stewart GW, Cambre A. Splinting for carpal tunnel syndrome: in search of the optimal angle. Arch Phys Med Rehabil 1994 Nov;75(11):1241-4. Burke DT, Burke MM, Stewart GW, Cambre A. Splinting for carpal tunnel syndrome: in search of the optimal angle. Arch Phys Med Rehabil 1994 Nov;75(11):1241-4.
27.
go back to reference Falkenburg SA. Choosing hand splints to aid carpal tunnel syndrome recovery. Occup Health Saf 1987 May;56(5):60,63-4. Falkenburg SA. Choosing hand splints to aid carpal tunnel syndrome recovery. Occup Health Saf 1987 May;56(5):60,63-4.
28.
go back to reference Gerritsen AA, Vet HC de, Scholten RJ, Bertelsmann FW, Krom MC de, Bouter LM. Splinting vs surgery in the treatment of carpal tunnel syndrome: a randomized controlled trial. JAMA 2002 Sep 11;288(10):1245-51. Gerritsen AA, Vet HC de, Scholten RJ, Bertelsmann FW, Krom MC de, Bouter LM. Splinting vs surgery in the treatment of carpal tunnel syndrome: a randomized controlled trial. JAMA 2002 Sep 11;288(10):1245-51.
29.
go back to reference Demirci S, Kutluhan S, Koyuncuoglu HR, Kerman M, Heybeli N, Akkus S, Akhan G. Comparison of open carpal tunnel release and local steroid treatment outcomes in idiopathic carpal tunnel syndrome. Rheumatol Int 2002 May;22(1):33-7. Demirci S, Kutluhan S, Koyuncuoglu HR, Kerman M, Heybeli N, Akkus S, Akhan G. Comparison of open carpal tunnel release and local steroid treatment outcomes in idiopathic carpal tunnel syndrome. Rheumatol Int 2002 May;22(1):33-7.
30.
go back to reference Marshall S, Tardif G, Ashworth N. Local corticosteroid injection for carpal tunnel syndrome. Cochrane Database Syst Rev 2002;(4):CD001554. Marshall S, Tardif G, Ashworth N. Local corticosteroid injection for carpal tunnel syndrome. Cochrane Database Syst Rev 2002;(4):CD001554.
31.
go back to reference Quaglietta P, Corriero G. Endoscopic carpal tunnel release surgery: retrospective study of 390 consecutive cases. Acta Neurochir Suppl 2005;92:41-5. Quaglietta P, Corriero G. Endoscopic carpal tunnel release surgery: retrospective study of 390 consecutive cases. Acta Neurochir Suppl 2005;92:41-5.
32.
go back to reference Thoma A, Veltri K, Haines T, Duku E. A meta-analysis of randomized controlled trials comparing endoscopic and open carpal tunnel decompression. Plast Reconstr Surg 2004 Oct;114(5):1137-46. Thoma A, Veltri K, Haines T, Duku E. A meta-analysis of randomized controlled trials comparing endoscopic and open carpal tunnel decompression. Plast Reconstr Surg 2004 Oct;114(5):1137-46.
33.
go back to reference Mackenzie DJ, Hainer R, Wheatley MJ. Early recovery after endoscopic vs. short-incision open carpal tunnel release. Ann Plast Surg 2000 Jun;44(6):601-4. Mackenzie DJ, Hainer R, Wheatley MJ. Early recovery after endoscopic vs. short-incision open carpal tunnel release. Ann Plast Surg 2000 Jun;44(6):601-4.
34.
go back to reference Trumble TE, Diao E, Abrams RA, Gilbert-Anderson MM. Single-portal endoscopic carpal tunnel release compared with open release: a prospective, randomized trial. J Bone Joint Surg Am 2002 Jul;84-A(7):1107-15. Trumble TE, Diao E, Abrams RA, Gilbert-Anderson MM. Single-portal endoscopic carpal tunnel release compared with open release: a prospective, randomized trial. J Bone Joint Surg Am 2002 Jul;84-A(7):1107-15.
Metagegevens
Titel
1a Addendum: het carpaletunnelsyndroom
Auteur
Koos van Nugteren
Copyright
2006
Uitgeverij
Bohn Stafleu van Loghum
DOI
https://doi.org/10.1007/978-90-313-7025-2_3