Hi chng ng c tay

Hi chng ng c tay l mt ri lon thn kinh ngoi vi thng

gp nht, khong 3% ngi trng thnh M c biu hin hi
chng ny c James Paget m t t gia th k 18. a s
bnh nhn hay than phin v vic cc ngn tay b au, t rn
xut hin sau mt chn thng vng c tay hay cn au thp
khp[8],[9],[10],[11]. c bit ngi ta thy hi chng ny xut
hin vo gia hay cui thai k ca nhiu sn ph. Nhiu tc
nhn ti ch v ton thn c lin quan n s pht trin hi
chng ng c tay[6],[7],[11],[12]. Nhng tc nhn ny c th
gy chn p thn kinh gia t bn ngoi nh chn thng, hoc
t bn trong nh vim bao hot dch th pht t cc bnh h
thng nh thp khp[13],[14],[15].
C

ch

sinh

bnh

V gii phu hc, thn kinh gia i chung vi nhng gn c gp

ca cc ngn tay trong ng c tay[1],[2],[3]. ng c tay c
to bi mc gi gn gp v cc vch chung quanh l b ca cc
xng c tay. Chnh v nm trong mt cu trc khng co gin
c nn khi c s tng th tch ca cc gn gp b vim (hay
cc t th gp dui c tay qu mc v thng xuyn) th s to
mt lc chn p ln cc mch mu nui nh i st bn dy thn
kinh, gy ra tnh trng thiu dng[3],[4],[5]. Lc ny s xut
hin triu chng t bn tay v cc si thn kinh cm gic b nh
hng trc. Sau cc nhnh vn ng s b tc ng to ra s
yu hay lit c m n chi phi.

1.

Nguyn L Trung Hiu, L Minh, Nguyn Hu Cng (2003), "C IM LM SNG

V IN C CA HI CHNG NG C TAY: KHO ST TIN CU 70
TRNG HP". Tp ch Y hc TP. H Ch Minh, 7 (4), tr.94.

2.

Nguyn L Trung Hiu, L Minh, Nguyn Hu Cng (2004), "KHO ST IN SINH

L THN KINH C V LM SNG TRONG HI CHNG NG C TAY". Tp ch Y
hc TP. H Ch Minh, 8 (1), tr.19.

3.

Nguyn Trung Hiu, Phc Hng (2010), "KHO ST TNH HNH HI CHNG
NG C TAY BNH NHN CHY THN NHN TO NH K TI BNH
VIN CH RY". Tp ch Y hc TP. H Ch Minh, 14 (1), tr.185.

4.

Nguyn Mai Ha (2008), "KHO ST IN C TRN BNH NHN I THO

NG MN TNH". Tp ch Y hc TP. H Ch Minh, 12 (1), tr.352.

5.

L Thi Bnh Khang, V Tn Sn, Phm Anh Tun, L Th ng, Nguyn Hin Nhn,
L c inh Min (2010), "NH GI HIU QU IU TR PHU THUT CT
DY CHNG NGANG C TAY TRONG HI CHNG NG C TAY". Tp ch Y hc
TP. H Ch Minh, 14 (2), tr.38.

6.

Andreu J. L., Ly-Pen D. (2013), "Methylprednisolone injections for the carpal tunnel
syndrome". Ann Intern Med, 159 (12), pp.858.

7.

Andreu J. L., Ly-Pen D., Millan I., de Blas G., Sanchez-Olaso A. (2014), "Local injection
versus surgery in carpal tunnel syndrome: neurophysiologic outcomes of a randomized
clinical trial". Clin Neurophysiol, 125 (7), pp.1479-84.

8.

Chikenji T., Gingery A., Zhao C., Vanhees M., Moriya T., Reisdorf R., An K. N.,
Amadio P. C. (2014), "Transforming Growth Factor-beta (TGF-beta) Expression Is
Increased in the Subsynovial Connective Tissue in a Rabbit Model of Carpal Tunnel
Syndrome". PLoS One, 9 (9), pp.e108312.

9.

Costantino M., Guaraldi C., Costantino D., De Grazia S., Unfer V. (2014), "Peripheral
neuropathy in obstetrics: efficacy and safety of alpha-lipoic acid supplementation". Eur
Rev Med Pharmacol Sci, 18 (18), pp.2766-71.

10.

Harris-Adamson C., Eisen E. A., Kapellusch J., Garg A., Hegmann K. T., Thiese M. S.,
Dale A. M., Evanoff B., Burt S., Bao S., Silverstein B., Merlino L., Gerr F., Rempel D.

(2014), "Biomechanical risk factors for carpal tunnel syndrome: a pooled study of 2474
workers". Occup Environ Med, pp.1.
11.

Hattori Y., Doi K., Sakamoto S., Kumar K., Koide S. (2014), "Camitz Tendon Transfer
Using Flexor Retinaculum as a Pulley in Advanced Carpal Tunnel Syndrome". J Hand
Surg Am, pp.1.

12.

Kimura J. "The carpal tunnel syndrome: localization of conduction abnormalities within

the distal segment of the median nerve". pp.1.

13.

Komurcu H. F., Kilic S., Anlar O. (2014), "Value of F-wave inversion in diagnosis of
carpal tunnel syndrome and it's relation with anthropometric measurements". J Back
Musculoskelet Rehabil, pp.1.

14.

Kwon H. K., Kang H. J., Byun C. W., Yoon J. S., Kang C. H., Pyun S. B. (2014),
"Correlation between Ultrasonography Findings and Electrodiagnostic Severity in Carpal
Tunnel Syndrome: 3D Ultrasonography". J Clin Neurol, 10 (4), pp.348-53.

15.

Thomsen N. O., Bjork J., Cederlund R. I. (2014), "Health-related quality of life 5 years
after carpal tunnel release among patients with diabetes: a prospective study with matched
controls". BMC Endocr Disord, 14 (1), pp.85.