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首页> 外文期刊>Hong Kong Journal of Paediatrics >Bilateral Carpal Tunnel Syndrome in a Young Healthy Girl Presenting with Thenar Muscles Atrophy
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Bilateral Carpal Tunnel Syndrome in a Young Healthy Girl Presenting with Thenar Muscles Atrophy

机译：一位年轻健康的女孩出现鼻肌肌肉萎缩的双腕腕管综合症

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摘要

Carpal tunnel syndrome (CTS) is rare in children. Lysosomal storage diseases including mucopolysaccharidosis and mucolipidosis, account for most of the underlying causes of childhood onset CTS. Rare causes such as trauma, aberrant ligaments, and muscle slings in the carpal tunnel and sports-related CTS have also been reported in children. Classical CTS occurs due to compression of the median nerve in the wrist when it runs through the carpal tunnel and usually presents with early sensory and late motor symptoms related to the territory of median nerve. Children with CTS however often have very few complaints despite long standing difficulty in manual tasks. Most of them are diagnosed late in the course of nerve compression with severe thenar weakness and atrophy. We describe the clinical features, hand function assessment, MRI findings and surgical outcome in a 12 years old girl with thenar muscles atrophy due to bilateral carpal tunnel syndrome with entrapment of the recurrent motor branches of median nerves.
机译：腕管综合症（CTS）在儿童中很少见。溶酶体贮积病包括粘多糖贮积病和粘脂病，是儿童期CTS发病的大部分潜在原因。还曾在儿童中报告过罕见的原因，例如创伤，韧带异常，腕管中的肌肉悬带以及与运动有关的CTS。经典CTS是由于腕部穿过腕管时腕部正中神经受压而发生的，通常表现出与正中神经区域有关的早期感觉和晚期运动症状。然而，尽管长期从事手动任务有困难，但患有CTS的儿童通常很少抱怨。他们中的大多数在神经受压的后期被诊断出患有严重的the肌无力和萎缩。我们描述了由于双侧腕管综合症而伴有正中神经递归运动支阻的12岁女孩因肛门肌肉萎缩而导致的12岁女孩的临床特征，手功能评估，MRI表现和手术结局。

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