Papers - NISHIDA Keiichiro

CYSTIC RADIO-LUCENCY OF CARPAL BONES IN HEMODIALYSIS-PATIENTS - AN EARLY INDICATOR OF THE ONSET OF CARPAL-TUNNEL SYNDROME

T KONISHIIKE, H HASHIZUME, K NISHIDA, H INOUE, T NANBA

JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME   19B ( 5 )   630 - 635   1994.10

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Language：English   Publishing type：Research paper (scientific journal)   Publisher：CHURCHILL LIVINGSTONE  

Patients receiving haemodialysis for more than 10 years were selected for this study in order to clarify an apparent sequential association of cystic lesions of carpal bones and carpal tunnel syndrome. X-rays and computed tomographs of 138 hands of 69 patients revealed cystic radiolucency of carpal bones in 35% of the hands. Radiographs were classified into three groups: Group A-cyst growing, Group B-cyst not growing, and Group C-cyst absent. The prevalence of carpal tunnel syndrome was 100% (27/27) in Group A, 5.6% (1/18) in Group B, and 6.5% (6/93) in Group C. Growth of the cyst precedes the development of carpal tunnel syndrome by about 2 or 3 years. Growth of the bone cyst indicates that inflammation had already extended to the tenosynovium and median nerve. Cystic radio-lucency of the carpal bones appears to be a useful indicator of the onset of carpal tunnel syndrome.

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Cubital tunnel syndrome in a patient in long-term haemodialysis

T. Konishiike, H. Hashizume, K. Nishida, H. Inoue, K. Moriwaki

Journal of Hand Surgery   19 ( 5 )   636 - 637   1994

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Language：English   Publishing type：Research paper (scientific journal)  

The onset mechanism of cubital tunnel syndrome and carpal tunnel syndrome may be similar in haemodialysis patients. Carpal tunnel syndrome is well recognized as a consequence of dialysis-associated amyloidosis. This case report documents the development of cubital tunnel syndrome in a patient on haemodialysis treatment for 10 years. Proliferating granulation tissue at the elbow had entrapped and displaced the ulnar nerve. This was corrected surgically, and the patient experienced immediate relief of the numbness and the "tingling", but the muscular atrophy had not improved after 8 months. © 1994.

DOI： 10.1016/0266-7681(94)90133-3

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