Skip to main content
SpringerLink
Log in

Therapeutische Möglichkeiten, Grundlagen und Richtlinien

  • Chapter
Kompressionssyndrome peripherer Nerven

Zusammenfassung

Sobald ein Nervenengpaßsyndrom diagnostiziert ist und damit der betroffene Nerv und die Höhe seiner Läsion feststehen, stellt sich die Frage der angemessenen Behandlung dieser Erkrankung. Sie kann konservativ oder operativ sein. Die Entscheidung für die eine oder andere Therapieform hängt von verschiedenen Faktoren ab: Vom Ausmaß der subjektiven Beschwerden und neurologischen Ausfälle, vom betroffenen Nerven und der Ursache der Nervenstörung. Das Alter des Patienten spielt hingegen eine höchstens untergeordnete Rolle. Hohes Alter spricht keinesfalls gegen eine Operation, und ihr Ergebnis ist grundsätzlich nicht schlechter als bei jüngeren Patienten. Einzelheiten der Therapie werden bei den verschiedenen Engpaßsyndromen abgehandelt, im folgenden sollen nur allgemeine Grundlagen angesprochen werden.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 44.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 59.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  • Bauer, H., Welsch, K.H., (1978) Schwangerschaftsoedem als Ursache eines Karpaltunnelsyndroms. MMW 120: 701–702

    CAS  Google Scholar 

  • Benini, A., (1975) Das Karpaltunnelsyndrom und die übrigen Kompressionssyndrome des Nervus medianus. Thieme, Stuttgart

    Google Scholar 

  • Bentley, F.H., Schlapp, W., (1943) Experiments on the blood supply of nerves. J Physiol 102: 62–71

    PubMed  CAS  Google Scholar 

  • Bramwell, E., (1903) A case of meralgia paresthetica ( Bernhardt’s Sensibilitätsstörung), with a short account of the condition. Edinburgh Med J 14: 26–33

    Google Scholar 

  • Bruner, J.M., (1951) Safety factors in the use of the pneumatic tourniquet for hemostasis in surgery of the hand. J Bone Joint Surg [Am] 33: 221–224

    CAS  Google Scholar 

  • Bruner, J.M., (1970) Time, pressure and temperature factors in the safe use of the tourniquet. Hand 2: 39–42

    Article  PubMed  CAS  Google Scholar 

  • Buck-Gramcko, D., Dietrich, F.E., (1981) Allgemeine Operationstechnik. In: Nigst, H., Buck- Gramcko, D., Millesi, H., (Hrsg) Handchirurgie, Bd I. Thieme, Stuttgart New York, S 8.1–8. 13

    Google Scholar 

  • Bunnell, S., (1944) Surgery of the hand. Lippincott, Philadelphia

    Google Scholar 

  • Bureau, H., Magalon, G., Roffe, J.L., (1982) Le syndrome du canal carpien. J Chir (Paris) 119: 739–747

    CAS  Google Scholar 

  • Calderwood, J.W., Dickie, W.R., (1972) Tourniquet paresis complicating tendon grafting. Hand 4: 53–55

    Article  PubMed  CAS  Google Scholar 

  • Castelli, W.A., Evans, F.G., Diaz-Perez, R., Armstrong, T.J., (1980) Intraneural connective tissue proliferation of the median nerve in the carpal tunnel. Arch Phys Med Rehabil 61: 418–422

    PubMed  CAS  Google Scholar 

  • Cherington, M., Happer, I., Machanic, B., Parry, L., (1986) Surgery for thoracic outlet syndrome may be hazardous to your health. Muscle Nerve 9: 632–634

    Article  PubMed  CAS  Google Scholar 

  • Cracchiolo, A., (ed) (1971) The carpal tunnel syndrome. Semin Arthritis Rheum 1: 87–95

    Google Scholar 

  • Curtis, R.M., Eversmann, W.W., (1973) Internal neurolysis as an adjunct to the treatment of the carpal tunnel syndrome. J Bone Joint Surg [Am] 55: 733–740

    CAS  Google Scholar 

  • Cushing, H., (1904) Pneumatic tourniquets. With especial reference to their use in craniotomies. Med News (New York) 84: 577–580

    Google Scholar 

  • Dale, W.A., (1971) Thoracic outlet syndrome. J Tenn Med Assoc 64: 941–948

    PubMed  CAS  Google Scholar 

  • Dale, W.A., (1982) Thoracic outlet compression syndrome. Critique in 1982. Arch Surg 117: 1437–1445

    PubMed  CAS  Google Scholar 

  • Dale, W.A., Lewis, M.R., (1975) Management of thoracic outlet syndrome. Ann Surg 181: 575–585

    Article  PubMed  CAS  Google Scholar 

  • Dawson, D.M., Hallett, M., Millender, L.H., (1983) Entrapment neuropathies. Little & Brown, Boston Toronto

    Google Scholar 

  • Denny-Brown, D., Brenner, C., (1944) Paralysis of nerve induced by direct pressure and by tourniquet. Arch Neurol Psychiatry 51: 1–26

    Google Scholar 

  • Durkin, M.A., Crabtree, S.D., (1982) Hazard of pneumatic tourniquet application. J R Soc Med 75: 658–660

    PubMed  CAS  Google Scholar 

  • Ellis, J.M., Kishi, T., Azuma, J., Folkers, K., (1976) Vitamin B6 deficiency in patients with a clinical syndrome including the carpal tunnel defect. Biochemical and clinical response to therapy with pyridoxine. Res Commun Chem Pathol Pharmacol 13: 743–757

    PubMed  CAS  Google Scholar 

  • Ellis, J.M., Azuma, J., Watanabe, T., et al. (1977) Survey and new data on treatment with pyridoxine of patients having a clinical syndrome including the carpal tunnel and other defects. Res Commun Chem Pathol Pharmacol 17: 165–177

    PubMed  CAS  Google Scholar 

  • Ellis, J., Folkers, K., Watanabe, T., etal. (1979) Clinical results of a cross-over treatment with pyridoxine and placebo of the carpal tunnel syndrome. Am J Clin Nutr 32: 2040–2046

    PubMed  CAS  Google Scholar 

  • Ellis, J.M., Folkers, K., Levy, M., Takemura, K., Shizukuishi, S., Ulrich, R., Harrison, P., (1981) Therapy with vitamin B6 with and without surgery for treatment of patients having the idiopathic carpal tunnel syndrome. Res Commun Chem Pathol Pharmacol 33: 331–344

    PubMed  CAS  Google Scholar 

  • Ellis, J.M., Folkers, K., Levy, M., et al. (1982) Response of vitamin B-6 deficiency and the carpal tunnel syndrome to pyridoxine. Proc Natl Acad Sei USA 79: 7494–7498

    Article  CAS  Google Scholar 

  • Englert, H.M., (1976) Partielle faszikuläre Medianus-Atrophie ungeklärter Genese. Handchirurgie 8: 61–62

    PubMed  CAS  Google Scholar 

  • Eversmann, W.W., (1982) Entrapment and compression neuropathies. In: Green, J.P., (ed) Operative hand surgery. Churchill & Livingstone, New York, pp 957–1009

    Google Scholar 

  • Eversmann, W.W., Ritsick, J.A., (1978) Intraoperative changes in motor nerve conduction latency in carpal tunnel syndrome. J Hand Surg 3: 77–81

    Google Scholar 

  • Fissette, J., Onkelinx, A., (1979) Treatment of carpal tunnel syndrome. Hand 11: 206–210

    Article  PubMed  CAS  Google Scholar 

  • Flatt, A.E., (1972) Tourniquet time in hand surgery. Arch Surg 104: 190–192

    PubMed  CAS  Google Scholar 

  • Folkers, K., Ellis, J., Watanabe, T., Saji, S., Kaji, M., (1978) Biochemical evidence for a deficiency of vitamin B6 in the carpal tunnel syndrome based on a crossover clinical study. Proc Natl Acad Sei USA 75: 3410–3412

    Article  CAS  Google Scholar 

  • Folkers, K., Wolaniuk, A., Vadhanavikit, S., (1984) Enzymology of the response of the carpal tunnel syndrome to riboflavin and to combined riboflavin and pyridoxine. Proc Natl Acad Sci USA 81: 7076–7078

    Article  PubMed  CAS  Google Scholar 

  • Fowler, T.J., Danta, G., Gilliatt, R.W., (1972) Recovery of nerve conduction after a pneumatic tourniquet: Observations on the hind-limb of the baboon. J Neurol Neurosurg Psychiatry 35: 638–647

    Article  PubMed  CAS  Google Scholar 

  • Freshwater, M.F., Arons, M.S., (1978) The effect of various adjuncts on the surgical treatment of carpal tunnel syndrome secondary to chronic tenosynovitis. Plast Reconstr Surg 61: 93–96

    Article  PubMed  CAS  Google Scholar 

  • Garland, M., Bradshaw, J.P.P., Clark, J.M.P., (1957) Compression of median nerve in carpal tunnel and its relation to acroparaesthesiae. Br Med J 1: 730–734

    Article  PubMed  CAS  Google Scholar 

  • Gassmann, N., Segmüller, G., (1976) Das Karpaltunnelsyndrom: Indikation und Technik der epineuralen und der interfaszikulären Neurolyse. Helv Chir Acta 43: 699–702

    PubMed  CAS  Google Scholar 

  • Gassmann, N., Segmüller, G., Stanisic, M., (1977) Das Karpaltunnelsyndrom. Indikation, Technik und Resultate nach epineuraler und interfaszikulärer Neurolyse. Handchirurgie 9: 137–142

    CAS  Google Scholar 

  • Gauthier, G., (1979) Thomas Morton’s disease: A nerve entrapment syndrome. A new surgical

    Google Scholar 

  • echnique. Clin Orthop 142:90–92

    Google Scholar 

  • Gentili, F., Hudson, A.R., Hunter, D., (1980 a) Clinical and experimental aspects of injection injuries of peripheral nerves. Can J Neurol Sci 7: 143–151

    Google Scholar 

  • Gentili, F., Hudson A.R., Hunter, D., Kline, D.G., ( 1980 b) Nerve injection injury with local anesthetic agents: A light and electron microscopic, fluorescent microscopic, and horseradish peroxidase study. Neurosurgery 6: 263–272

    Article  PubMed  CAS  Google Scholar 

  • Gentili, F., Hudson, A.R., Kline, D., Hunter, D., (1980c) Early changes following injection injury of peripheral nerves. Can J Surg 23: 177–182

    PubMed  CAS  Google Scholar 

  • Gentili, F., Hudson, A.R., Kline, D.C., Hunter, D., (1981) Morphological and physiological alterations following internal neurolysis of normal rat sciatic nerve. In: Gorio, A., Millesi, H., Mingrino, S., (eds) Posttraumatic peripheral nerve regeneration. Raven, New York, pp 183–196

    Google Scholar 

  • Gerl, A., Fuchs, T., (1980) Die Operation des Karpaltunnelsyndroms ohne interfaszikuläre Neurolyse. Zentralbl Neurochir 41: 139–148

    PubMed  CAS  Google Scholar 

  • Gould, J.S., Wissinger, H.A., (1978) Carpal tunnel syndrome in pregnancy. South Med J 71: 144–145, 154

    Google Scholar 

  • Grundberg, A.B., (1983) Carpal tunnel decompression in spite of normal electromyography. J Hand Surg 8: 348–349

    CAS  Google Scholar 

  • Hamilton, W.K., Sokoll, M.D., (1967) Tourniquet paralysis. JAMA 199: 95

    Article  Google Scholar 

  • Haußmann, P., (1982) Intratrunkuläre faszikuläre Kompression des N. interosseus anterior. Handchirurgie 14: 183–185

    Google Scholar 

  • Haußmann, P., Kendel, K., (1981) Oligofaszikuläres Medianus-Kompressionssyndrom. Handchirurgie 13: 268–271

    PubMed  Google Scholar 

  • Hoffmann, H., Gerber, H., (1981) Anästhesie. In: Nigst, H., Buck-Gramcko, D., Millesi, H., (Hrsg) Handchirurgie, Bd I. Thieme, Stuttgart New York, S 6.1–6. 13

    Google Scholar 

  • Holmgren-Larsson, H., Leshniewski, W., Linden, U., Rabow, L., Thorling, J., (1985) Internal neurolysis or ligament division only in carpal tunnel syndrome — results of a randomized study. Acta Neurochir (Wien) 74: 118–121

    Article  CAS  Google Scholar 

  • Hudson, A.R., (1983) Carpal tunnel syndrome in pregnancy (letter). Can Med Assoc J 128: 1348–1349

    PubMed  CAS  Google Scholar 

  • Hudson, A.R., (1984) Peripheral nerve surgery. In: Dyck, P.J., Lambert, E.H., Bunge, R., (eds) Peripheral neuropathy, 2nd edn. Saunders, Philadelphia, pp 420–437

    Google Scholar 

  • Hudson, A.R., Kline, D.G., (1975) Progression of partial experimental injury to peripheral nerve. Part 2: Light and electron microscopic study. J Neurosurg 42: 15–22

    Google Scholar 

  • Hudson, A.R., Berry, H., Mayfield, F., (1982) Chronic injuries of peripheral nerves by entrapment. In: Youmans, J.R., (ed) Neurological surgery, 2nd edn. Saunders, Philadelphia, pp 2430–2474

    Google Scholar 

  • Kamp Nielsen, V., Osgaard, O., Trojaborg, W., (1980) Interfascicular neurolysis in chronic ulnar nerve lesions at the elbow: An electrophysiological study. J Neurol Neurosurg Psychiatry 43: 272–280

    Article  PubMed  CAS  Google Scholar 

  • Klenerman, L., (1962) The tourniquet in surgery. J Bone Joint Surg [Br] 44: 937–943

    Google Scholar 

  • Kline, D.G., Hackett, A.R., Davis, G.D., Myers, M.B., (1972) Effect of mobilization on the blood supply and regeneration of injured nerves. J Surg Res 12: 254–266

    Article  PubMed  CAS  Google Scholar 

  • Lemaire, R., Lejeune, G., Leclercq, D., Carlier, A., (1979) Une pathologie méconnue: Les neuropathies par compression des troncs nerveux périphériques. Rév Méd Liège 34: 314–327

    PubMed  CAS  Google Scholar 

  • Lerique, J.L., (1974) A propos du garrot ischémique en chirurgie réparatrice. Ann Chir 28: 327–330

    PubMed  CAS  Google Scholar 

  • Levine, J., Spinner, M., (1971) Neurolysis in elderly patients. Clin Orthop 80: 13–16

    Article  PubMed  CAS  Google Scholar 

  • Lilly, C.J., Magnell, T.D., (1985) Severance of the thenar branch of the median nerve as a complication of carpal tunnel release. J Hand Surg 10: 399–402

    CAS  Google Scholar 

  • Louis, D.S., Greene, T.L., Noellert, R.C., (1985) Complications of carpal tunnel surgery. J Neurosurg 62: 352–356

    Article  PubMed  CAS  Google Scholar 

  • Lundborg, G., (1970) Ischemic nerve injury. Experimental studies on intraneural microvascular pathophysiology and nerve function in a limb subjected to temporary circulatory arrest. Scand J Plast Reconstr Surg 6 [Suppl]

    Google Scholar 

  • Lundborg, G., (1975) Structure and function of the intraneural micro vessels as related to trauma, edema formation, and nerve function. J Bone Joint Surg [Am] 57: 938–948

    CAS  Google Scholar 

  • Lundborg, G., (1980) Intraneural microcirculation and peripheral nerve barriers: Techniques for evaluation — clinical implications. In: Omer, G.E., Spinner, M., (eds) Management of peripheral nerve problems. Saunders, Philadelphia, pp 903–916

    Google Scholar 

  • Lundborg, G., Brânemark, P.I., (1968) Microvascular structure and function of peripheral nerves. Vital microscopic studies of the tibial nerve in the rabbit. Adv Microcirc 1: 66–88

    Google Scholar 

  • MacDonald, R.I., Lichtman, D.M., Hanlon, J.J., Wilson, J.N., (1978) Complications of surgical release for carpal tunnel syndrome. J Hand Surg 3: 70–76

    CAS  Google Scholar 

  • Mackinnon, S.E., Hudson, A.R., Gentili, F., Kline, D.G., Hunter, D., (1982) Peripheral nerve injection injury with steroid agents. Plast Reconstr Surg 69: 482–489

    Article  PubMed  CAS  Google Scholar 

  • Marie, P., Foix, C., (1913) Atrophie isolée de l’éminence thénar d’origine névritique: Rôle du ligament annulaire antérieur du carpe dans la pathogénie de la lésion. Rev Neurol 26: 647–649

    Google Scholar 

  • Martini, A.K., Solz, H., (1983) Die interfaszikuläre Neurolyse: Indikation, Effekt und Gewebsreaktion (klinische und tierexperimentelle Studie). Handchirurgie [Suppl] 15: 29–32

    Google Scholar 

  • Miller, R.G., Hummel, E.E., (1980) The cubital tunnel syndrome: Treatment with simple decompression. Ann Neurol 7: 567–569

    Article  PubMed  CAS  Google Scholar 

  • Moldaver, J., (1954) Tourniquet paralysis syndrome. Arch Surg 68: 136–144

    CAS  Google Scholar 

  • Neary, D., Ochoa, J., Gilliatt, R.W., (1975) Sub-clinical entrapment neuropathy in man. J Neurol Sci 24: 283–298

    Article  PubMed  CAS  Google Scholar 

  • Nigst, H., (1981) Zum Platz der Mikrochirurgie in der operativen Behandlung der Kompressionssyndrome an der oberen Extremität. Ther Umsch 38: 1208–1216

    PubMed  CAS  Google Scholar 

  • Ochoa, J., Fowler, T.J., Gilliatt, R.W., (1972) Anatomical changes in peripheral nerves compressed by a pneumatic tourniquet. J Anat 113: 433–455

    PubMed  CAS  Google Scholar 

  • Omer, G.E., ( 1980 a) Tendon transfers for reconstruction of the forearm and hand following peripheral nerve injuries. In: Omer, G,E., Spinner, M., (eds) Management of peripheral nerve problems. Saunders, Philadelphia, pp 817–846

    Google Scholar 

  • Omer, G.E., ( 1980 b) Tendon transfers as reconstructive procedures in the leg and foot. In: Omer, G.E., Spinner, M., (eds) Management of peripheral nerve problems. Saunders, Philadelphia, pp 873–880

    Google Scholar 

  • Paine, K.W.E., (1970) Tardy ulnar palsy. Can J Surg 13: 255–261

    PubMed  CAS  Google Scholar 

  • Pechan, J., Kredba, J., ( 1980 a) Treatment of cubital tunnel syndrome by means of local administration of cortisonoids. I. Short-term follow-up. Acta Univ Carol Med 26: 125–133

    CAS  Google Scholar 

  • Pechan, J., Kredba, J., ( 1980 b) Treatment of cubital tunnel syndrome by means of local administration of cortisonoids. II. Long-term follow-up. Acta Univ Carol Med 26: 135–140

    CAS  Google Scholar 

  • Peet, R.M., Hendrickson, J.D., Anderson, T.P., Martin, G.M., (1956) Thoracic outlet syndrome: Evaluation of a therapeutic exercise program. Mayo Clin Proc 31: 281–287

    CAS  Google Scholar 

  • Pencek, T.L., Schauf, C.L., Low, P.A., Eisenberg, B.R., Davis, F.A., (1980) Disruption of the perineurium in amphibian peripheral nerve: Morphology and physiology. Neurology 30: 593–599

    PubMed  CAS  Google Scholar 

  • Phalen, G.S., (1970) Reflections on 21 years experience with the carpal tunnel syndrome. JAMA 212: 1365–1367

    Article  PubMed  CAS  Google Scholar 

  • Phalen, G.S., (1972) The carpal tunnel syndrome. Clinical evaluation of 598 hands. Clin Orthop 83: 29–40

    Article  PubMed  CAS  Google Scholar 

  • Phalen, G.S., (1981) The birth of a syndrome, or carpal tunnel revisited (editorial). J Hand Surg 6: 109–110

    CAS  Google Scholar 

  • Posch, L., Prpic, I., (1975) Surgical treatment of the carpal tunnel syndrome. Handchirurgie 7: 95–98

    PubMed  CAS  Google Scholar 

  • Ramamurthy, S., (1982) Anesthesia. In: Green, D.P., (ed) Operative hand surgery. Churchill & Livingstone, New York, pp 23–54

    Google Scholar 

  • Rengachary, S.S., (1985) Entrapment neuropathies. In: Wilkins, R.H., Rengachary, S.S., (eds) Neurosurgery. McGraw-Hill, New York, pp 1771–1795

    Google Scholar 

  • Richter, H-P., Ketelsen, U.P., (1982) Impairment of motor recovery after late nerve suture: Experimental study in the rabbit. Part 2: Morphological findings. Neurosurgery 10: 75–85

    Article  Google Scholar 

  • Roffe, J.L., Magalon, G., Decaillet, J.M., Latil, F., Bureau, H., (1981) Le syndrome du canal carpien. Aspects étiologiques et thérapeutiques actuels. 250 malades opérés et revus. Nouv Presse Med 10: 1205–1208

    PubMed  CAS  Google Scholar 

  • Rydevik, B., Lundborg, G., Nordborg, C., (1976) Intraneural tissue reactions by internal neurolysis. Scand J Plast Reconstr Surg 10: 3–8

    PubMed  CAS  Google Scholar 

  • Said, G., (1976) Renflement fusiforme d’origine mécanique d’un nerf périphérique. Étude anatomique. Acta Neuropathol (Berl) 35: 47–54

    Article  CAS  Google Scholar 

  • Samii, M., (1976) Intraneurale Neurolyse des Nervus medianus beim Karpaltunnelsyndrom. Handchirurgie 8: 117–119

    PubMed  CAS  Google Scholar 

  • Sandzen, S.C. Jr., (1981) Carpal tunnel syndrome. Am Fam Physician 24: 190–204

    PubMed  Google Scholar 

  • Saunders, K.C., Louis, D.L., Weingarden, S.I., Waylonis, G.W., (1979) Effect of tourniquet time on postoperative quadriceps function. Clin Orthop Relat Res 143: 194–199

    PubMed  Google Scholar 

  • Schink, W., (1983) Motorische Ersatzoperationen nach Nerven Verletzungen In: Nigst, H., Buck-Gramcko, D., Millesi, M., (Hrsg) Handchirurgie, Bd II. Thieme, Stuttgart, S. 40.1–40.23

    Google Scholar 

  • Seddon, H.J., (1943) Three types of nerve injury. Brain 66: 237–288

    Article  Google Scholar 

  • Semple, J.C., Cargill, A.O., (1969) Carpal tunnel syndrome. Results of surgical decompression. Lancet 1: 918–919

    Article  PubMed  CAS  Google Scholar 

  • Shizukuishi, S., Nishii, S., Ellis, J., Folkers, K., (1980) The carpal tunnel syndrome as a probable primary deficiency of vitamin B6 rather than a deficiency of a dependency state. Biochem Biophys Res Commun 95: 1126–1130

    Article  PubMed  CAS  Google Scholar 

  • Sjöstrand, J., Rydevik, B., Lundborg, G., McLean, W.G., (1980) Effects of graded compression on axonal transport and nerve barriers. In: Jewett, D.L., McCarroll, H.R., (eds) Nerve repair and regeneration. Its clinical and experimental basis. Mosby, St. Louis, pp 90–94

    Google Scholar 

  • Snell, N.J., Coysh, H.L., Snell, B.J., (1980) Carpal tunnel syndrome presenting in the puerperium. Practioner 224: 191–193

    CAS  Google Scholar 

  • Spinner, M., (1978) Injuries to the major branches of peripheral nerves of the forearm, 2nd edn. Saunders, Philadelphia

    Google Scholar 

  • Spinner, M., (1980) Management of nerve compression lesions of the upper extremity. In: Omer, G.E., Spinner, M., (eds) Management of peripheral nerve problems. Saunders, Philadelphia, pp 569–592

    Google Scholar 

  • Spinner, M., (1984) Management of nerve compression lesions. American Academy of Orthopaedic Surgeons. Instr Course Lect 33: 498–512

    PubMed  CAS  Google Scholar 

  • Stevens, M., (1957) Meralgia paresthetica. Arch Neurol Psychiatry 77: 557–574

    CAS  Google Scholar 

  • Stöhr, M., Reill, P., (1980) Chronic compression syndrome of the radial nerve above the elbow (letter). Muscle Nerve 3: 446–447

    PubMed  Google Scholar 

  • Sunderland, S., (1945) The intraneural topography of the radial, median and ulnar nerves. Brain 68: 243–299

    Article  PubMed  CAS  Google Scholar 

  • Sunderland, S., (1951) A classification of peripheral nerve injuries producing loss of function. Brain 74: 491–516

    Article  PubMed  CAS  Google Scholar 

  • Sunderland, S., (1976) The nerve lesion in the carpal tunnel syndrome. J Neurol Neurosurg Psychiatry 39: 615–626

    Article  PubMed  CAS  Google Scholar 

  • Sunderland, S., (1978) Nerves and nerve injuries, 2nd edn. Churchill & Livingstone, Edinburgh

    Google Scholar 

  • Thomas, P.K., Fullerton, P.M., (1963) Nerve fibre size in the carpal tunnel syndrome. J Neurol Neurosurg Psychiatry 26: 520–527

    Article  PubMed  CAS  Google Scholar 

  • Tubiana, R., (1985) The use of the tourniquet. In: Tubiana, R., (ed) The hand, vol II. Saunders, Philadelphia, pp 31–37

    Google Scholar 

  • Vincent-Espinasse, J., Le Goaziou, F., (1985) Anesthesia in surgery of the hand. In: Tubiana, R., (ed) The hand, vol II. Saunders, Philadelphia, pp 18–30

    Google Scholar 

  • Weiss, P., (1944) Endoneurial edema in constricted nerve. Anat Rec 86: 491–522

    Article  Google Scholar 

  • Wolaniuk, A., Vadhanavikit, S., Folkers, K., (1983) Electromyographic data differentiate patients with the carpal tunnel syndrome when double blindly treated with pyridoxine and placebo. Res Commun Chem Pathol Pharmacol 41: 501–511

    PubMed  CAS  Google Scholar 

  • Yates, S.K., Hurst, L.N., Brown, W.F., (1981) Physiological observations in the median nerve during carpal tunnel surgery. Ann Neurol 10: 227–229

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Neurologische Klinik der Weserberglandklinik, Grüne Mühle, D-3470, Höxter, Germany

    Prof. Dr. Wolfgang Tackman

  2. Neurochirurgische Klinik der Städtischen Kliniken Fulda, Pacelliallee 4, D-6400, Fulda, Germany

    Prof. Dr. Hans-Peter Richter

  3. Neurologische Klinik des Zentralklinikums Augsburg, Stenglinstraße 2, D-8900, Augsburg, Germany

    Prof. Dr. Manfred Stöhr

Authors
  1. Prof. Dr. Wolfgang Tackman
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Prof. Dr. Hans-Peter Richter
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Prof. Dr. Manfred Stöhr
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

Copyright information

© 1989 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Tackman, W., Richter, HP., Stöhr, M. (1989). Therapeutische Möglichkeiten, Grundlagen und Richtlinien. In: Kompressionssyndrome peripherer Nerven. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-71768-0_6

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-71768-0_6

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-71769-7

  • Online ISBN: 978-3-642-71768-0

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation