Zusammenfassung
Das Karpaltunnelsyndrom (KTS) als häufigstes und das Kubitaltunnelsyndrom (KUTS, UNE) als zweithäufigstes Engpass-Syndrom bilden die Schwerpunkte der Übersicht über die praktisch wichtigsten, aber auch weitere relevante (Loge-de-Guyon-Syndrom, Supinatortunnel-Syndrom, Wartenberg-Syndrom, Thoracic-Outlet-Syndrom [TOS], Meralgie, Morton-Syndrom, N.-peronaeus-Kompression, Tarsaltunnel-Syndrom) und seltenere (wie Suprascapularis-, N.-interosseus-anterior-, Piriformis-Syndrom, Pudendusneuralgie usw.) Nervenkompressionssyndrome. Neben den klinischen, elektrophysiologischen und bildgebenden Verfahren als Basis für die Indikationsstellung zur Operation werden die verschiedenen operativen Behandlungsverfahren wiederum mit Schwerpunkt auf KTS und KUTS (einschließlich der endoskopischen) beschrieben und durch Bildmaterial unterlegt. Beim KTS werden auch Begleiterkrankungen (z. B. Tendovaginitis stenosans und KTS in der Gravidität, bei chronischer Hämodialyse und Mamma-Ca) berücksichtigt, ebenso wie die beiden S3-Leitlinien (unter Federführung der Auto ren).
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Literatur
Akermark C, Crone H, Skoog A, Weidenhielm L (2013) A prospective randomized controlled trial of primary versus dorsal incisions for operative treatment of primary Morton’s neuroma. Foot Ankle Int 34:1198–1204
Aldrich EF, Med M, Mauritz van den Heever C (1988) Suprainguinal ligament approach for surgical treatment of meralgia paresthetica. J Neurosurg 70:492–494
Aleksenko D, Varacallo M (2019) Guyon canal syndrome. In: StatPearls [Internet]. StatPearls Publishing, Treasure Island, S 5
Antoniadis G (2015a) Kompressionssyndrom des N. cutaneus femoris lateralis (Meralgia paraesthetica). In: Assmus H, Antoniadis G (Hrsg) Nervenkompressionssyndrome. Springer, Berlin/Heidelberg, S 171–176
Antoniadis G (2015b) Sonstige Kompressionssyndrome der Leistenregion und unteren Extremität. In: Assmus H, Antoniadis G (Hrsg) Nervenkompressionssyndrome, 3. Aufl. Springer, Berlin/Heidelberg, S 177–196
Antoniadis G (2015c) Sonstige Kompressionssyndrome der Leistenregion und unteren Extremität. In: Assmus H, Antoniadis G (Hrsg) Nervenkompressionssyndrome, 3. Aufl. Springer, Berlin/Heidelberg, S 182–184
Antoniadis G, Scheglmann K (2008) Posterior tarsal tunnel syndrome. Diagnosis and treatment. Dtsch Ärztebl Int 105:776–781
Antoniadis G, Richter HP, Rath S, Braun V, Moese G (1996) Suprascapular nerve entrapment: experience with 28 cases. J Neurosurg 85:1020–1025
Assmus H (1981) New aspects of pathogenesis and therapy of the cubital tunnel syndrome. Adv Neurosurg 9:391–395
Assmus H (1993) Ist das Karpaltunnelsyndrom erblich? Akt Neurol 20:138–141
Assmus H (1994a) Die einfache Dekompression des N. ulnaris beim Kubitaltunnelsyndrom mit und ohne morphologische Veränderungen. Erfahrungsbericht anhand von 523 Fällen. Nervenarzt 65:846–885
Assmus H (1994b) Die Morton-Metatarsalgie. Ergebnisse der operativen Behandlung bei 54 Fällen. Nervenarzt 65:238–240
Assmus H (2000) Tendovaginitis stenosans. Eine häufige Begleiterkrankung des Karpaltunnelsyndroms. Nervenarzt 71:474–476
Assmus H (2015) Das Karpaltunnelsyndrom. Eine Übersicht für Ärzte aller Fachgebiete. Springer Essentials, Heidelberg/New York/Dordrecht/London
Assmus H, Antoniadis G (Hrsg) (2003) Nervenkompressionssyndrome. Springer, Berlin/Heidelberg
Assmus H, Antoniadis G (Hrsg) (2008) Nervenkompressionssyndrome, 2. Aufl. Steinkopff, Heidelberg
Assmus H, Antoniadis G (2015a) Die Kompressionssyndrome des N. medianus. In: Assmus H, Antoniadis G (Hrsg) Nervenkompressionssyndrome, 3. Aufl. Springer, Berlin/Heidelberg, S 45–94
Assmus H, Antoniadis G (2015b) Kompressionssyndrome des N. radialis. In: Assmus H, Antoniadis G (Hrsg) Nervenkompressionssyndrome. Springer, Heidelberg
Assmus H, Antoniadis G (2015c) Kompressionssyndrome des N. tibialis. In: Assmus H, Antoniadis G (Hrsg) Nervenkompressionssyndrome, 3. Aufl. Springer, Berlin/Heidelberg, S 152–160
Assmus H, Antoniadis G (Hrsg) (2015d) Nervenkompressionssyndrome, 3. Aufl. Springer, Berlin/Heidelberg, S 168
Assmus H, Hashemi B (2000) Die operative Behandlung des Karpaltunnelsyndroms in der Schwangerschaft. Erfahrungsbericht anhand von 314 Fällen. Nervenarzt 71:470–473
Assmus H, Staub F (2004) Handchirurgische Eingriffe nach Mammakarzinom am Beispiel des Karpaltunnelsyndroms. Handchir Mikrochir Plast Chir 36:237–240
Assmus H, Staub F (2005) Karpaltunnelsyndrom-Rezidive bei Langzeithämodialyse. Handchir Mikrochir Plast Chir 37:158–166
Assmus H et al (2006) Rezidiv- und Korrektureingriffe beim Karpaltunnelsyndrom. Handchir Mikrochir Plast Chir 38:306–311
Assmus H et al (2007/2012) Diagnostik und Therapie des Karpaltunnelsyndroms. Leitlinie der Deutschen Gesellschaften für Handchirurgie, Neurochirurgie, Neurologie, Orthopädie und Orthopädischen Chirurgie. AWMF-Leitlinienregister Nr. 005-003
Assmus H et al (2011) Cubital tunnel syndrome – a review and management guidelines. Cen Eur Neurosurg 72:90–98
Assmus H, Antoniadis G, Bischoff C (2015a) Carpal and cubital tunnel and other, rarer nerve compression syndromes. Dtsch Arztebl Int 112(1–2):14–25. https://doi.org/10.3238/arztebl.2015.0014; quiz. Review. PubMed PMID: 25613452; PubMed Central PMCID: PMC4318466
Assmus H, Antoniadis G, Hoffmann R (2015b) Kompressionssyndrome des N. ulnaris. In: Assmus H, Antoniadis G (Hrsg) Nervenkompressionssyndrome. Springer, Heidelberg
Assmus H et al (2017) Diagnostik und Therapie des Kubitaltunnelsyndroms. Leitlinien.net
Barker AR, Rosson GD, Dellon AL (2008) Outcome of neurolysis for failed tarsal tunnel syndrome. J Recontr Microsurg 24:111–118
Bianchi S et al (2019) Partial anterior tunnel syndrome: a retrospective analysis of ultrasound findings in four surgically proven cases. Skelet Radiol 48(5):807–812
Boogaarts HD, Verbeek AL, Bartels RH (2010) Surgery for carpal tunnel syndrome under antiplatelet therapy. Clin Neurol Neurosurg 112:791–793
Caliandro P et al (2016) Treatment for ulnar neuropathy at the elbow. Cochrane Database Syst Rev 11:CD006839
Chaundry V, Russell J, Belzberg A (2008) Decompressive surgery of lower limbs for symmetrical diabetic peripheral neuropathy. Cochrane Database Syst Rev 16:CD006152
Conzen C, Conzen M, Rübsamen N, Mikolajczyk R (2016) Predictors of the patient-centered outcomes of surgical carpal tunnel release – a prospective cohort study. BMC Musculoskelet Disord 17:190. https://doi.org/10.1186/s12891-016-1046-3
Davison PG, Cobb T, Lalonde DH (2013) The patient’s perspective on carpal tunnel surgery related to the type of anesthesia: a prospective cohort study. Hand (N Y) 8(1):47–53. https://doi.org/10.1007/s11552-012-9474-5
Doneddu PE, Coraci D, Loreti C et al (2017) Tarsal tunnel syndrome: still more opinions than evidence. Status of the art. Neurol Sci 38(10):1735–1739
Dreyer MA, Gibboney MD (2019) Anterior tarsal tunnel syndrome. In: StatPearls [Internet]. StatPearls Publishing, Treasure Island
van Erten PV, Polder TW, Broere CA (1995) Operative treatment of meralgia paresthetica: transection versus neurolysis. Neurosurgery 37(1):63–65
Feindel W, Stratford J (1958) The role of the cubital tunnel in tardy ulnar palsy. Can J Surg 1:287–300
Gruber H et al (2015) The ulnar nerve after surgical transposition: can sonography define the reason of persisting neuropathy? Fortschr Röntgenstr 187:998–1002
Huemer GM et al (2007) Postoperative splinting after open carpal tunnel release does not improve functional and neurological outcome. Muscle Nerve 36(4):528–531
Huisstede BM, Miedema HS, van Opstal T et al (2008) Interventions for treating the radial tunnel syndrome: a systematic review of observational studies. J Hand Surg Am 33:72–78
Jørgensen LM et al (2017) Is one-stop surgery for carpal tunnel syndrome safe? A retrospective long-term follow-up study in a neurosurgical unit in Copenhagen. BMJ Open 7:e016103. https://doi.org/10.1136/bmjopen-2017-016103
Kasparek M, Schneider W (2013) Surgical treatment of Morton’s neurome: clinical results after open excision. Int Orthop 37:1857–1861
Kitchen C, Simpson J (1972) Meralgia paresthetica. A review of 67 patients. Acta Neurol Scand 48:547–555
Knoll A, Pal’a A, Pedro MT et al (2019) Clinical outcome after decompression of intraneural peroneal ganglion cyst and its morphologic correlation to postoperative nerve ultrasound. J Neurosurg 28:1–7
König RW, Antoniadis G (2015) Kompressionssyndrome des Schultergürtels. In: Assmus H, Antoniadis G (Hrsg) Nervenkompressionssyndrome, 3. Aufl. Springer, Heidelberg, S 137–150
König RW, Kretschmer T, Börm W, Hübner F, Richter HP, Antoniadis G (2005) Neurogenic thoracic outlet syndrome. Long term results of supraclavicular decompression. Nervenarzt 76:1224–1226
Kraus A, Sinis N, Werdin F, Schaller HE (2009) Ist die intraoperative Luxation des N. ulnaris ein Kriterium für die Transposition? Chirurg 81:143–147
Kretschmer T et al (2014) Nervenchirurgie. Springer, Berlin
Kumar P, Chakrabarti I (2009) Idiopathic carpal tunnel syndrome and trigger finger: is there an association? J Hand Surg Eur 34:58–59
Lai S, Zhang K, Li J, Fu W (2018) Carpal tunnel release with or without flexor retinaculum reconstruction for carpal tunnel syndrome at short and long-term follow up – a metaanalysis of randomized controlled trials. PLoS ONE 14(1):e0211369. https://doi.org/10.1371/journal.pone.0211369
Le Hanneur M, Maldonado AA, Howe BM, Mauermann ML, Spinner RJ (2019) „Isolated“ suprascapular neuropathy: compression, traction, or inflammation? Neurosurgery 84(2):404–412. https://doi.org/10.1093/neuros/nyy050
Lo Y et al (2002) Clinical and electrophysiological aspects of distal ulnar neuropathy. Acta Neurol Scand 105:390–394
Macnicol MF, Thompson WJ (1990) Idiopathic meralgia paresthetica. Clin Orthop Relat Res 254:270–274
Marshall S, Tardif G, Ashworth N (2007) Local corticosteroid injection for carpal tunnel syndrome (Cochrane Review). Cochrane Libr Issue 2
McSweeney SC, Cichero M (2015) Tarsal tunnel syndrome – a narrative literature review. Foot:244–250
Momaya AM, Kwapisz A, Choate WS, Kissenberth MJ, Tolan SJ, Lonergan KT, Hawkins RJ, Tokish JM (2018) Clinical outcomes of suprascapular nerve decompression: a systematic review. J Shoulder Elb Surg 27:172–180
Nahabedian MY, Dellon AL (1995) Meralgia paraesthetica: etiology, di- 270. diagnosis, and outcome of surgical decompression. Ann Plast Surg 271(35):590–594
Ochi K, Horiuchi Y, Tazaki K et al (2012) Fascicular constrictions in patients with spontaneous palsy of the anterior interosseous nerve and the posterior interosseous nerve. J Plast Surg Hand Surg 46(1):19–24
Ochi K et al (2013) The role of ultrasonography and MRI in patients with non-traumatic nerve fascicle torsion of the upper extremity. Clin Radiol 68:479–483
Omejec G, Podnar S (2016) Does ulnar nerve dislocation at the elbow cause neuropathy? Muscle Nerve 53:255–259
Omejec G, Podnar S (2018) Long-term outcomes in patients with ulnar neuropathy at the elbow treated according to the presumed aetiology. Clin Neurophysiol 129:1763–1769
Orlando MS, Likes KC, Kao SMY, Chen A, Lum YW, Reifsnyder T, Freischlag JAA (2015) Decade of excellent outcomes after surgical intervention in 538 patients with thoracic outlet syndrome. J Am Coll Surg 221(3):778
Page MJ, Massy-Westrop N, O’Connor DA, Pitt V (2012a) Splinting for carpal tunnel syndrome. Cochrane Database Syst Rev 7:CD010003
Page MJ, O’Connor DA, Pitt V, Massy-Westrop N (2012b) Exercise and mobilisation interventions for carpal tunnel syndrome. Cochrane Database Syst Rev 6:CD009899
Park IJ, Roh YT, Jeong C, Kim HM (2013) Spontaneous anterior interosseous nerve syndrome: clinical analysis of eleven surgical cases. J Plast Surg Hand Surg 47:519–523
Park KW, Boyer MI, Gelberman RH (2016) Simultaneous bilateral versus staged bilateral carpal tunnel release: a cost-effectiveness analysis. J Am Acad Orthop Surg 24(11):796–804. https://doi.org/10.5435/JAAOS-D-15-00620
Pelosi L et al (2018) Ulnar neuropathy with abnormal non-localizing electrophysiology: clinical, electrophysiological and ultrasound findings. Clin Neurophysiol 129:2155–2161
Pham M et al (2014) Anterior interosseous nerve syndrome: fascicular motor lesions of median nerve trunk. Neurology 82:598–606
Robert R, Labat JJ, Riant T et al (2007) Neurosurgical treatment of perineal neuralgias. In: Picklard JD, Akalan N, Di Rocco C (Hrsg) Advances and technical standards in neurosurgery. Springer, Wien, S 41–59
Rodner CM, Tinsley BA, O’Malley MP (2013) Pronator syndrome and anterior interosseous nerve syndrome. J Am Acad Orthop Surg 21(5):268–275. https://doi.org/10.5435/JAAOS-21-05-268
Schmidt S et al (2015) Endoscopic vs open decompression of the ulnar nerve in cubital tunnel syndrome: a prospective randomized double-blind study. Neurosurgery 77:960–971
Scholten RJ et al (2007) Surgical treatment options for carpal tunnel syndrome. Cochrane Database Syst Rev 17:CD003905
Shah R, Ahmad M, Hanu-Cernat D, Choudhary S (2019) Ultrasound-guided radiofrequency ablation for treatment of Morton’s neuroma: initial experience. Clin Radiol 74(10):815.e9–815.e13. https://doi.org/10.1016/j.crad.2019.07.002. Epub 2019 Aug 10
Sneag DB, Arányi Z, Zusstone EM (2019) Fascicular constrictions above elbow typify anterior interosseous nerve syndrome. Muscle Nerve. https://doi.org/10.1002/mus.26768. [Epub ahead of print]
Soltani AM et al (2013) Trends in the surgical treatment of cubital tunnel syndrome: an analysis of the national survey of ambulatory surgery database. J Hand Surg [Am] 38(8):1551–1556
Souter J, Swong K, McCoyd M et al (2018) Surgical results of common peroneal nerve neuroplasty at lateral fibular neck. World Neurosurg 112:465–472
Spahn G et al (2012) Metaanalyse zur Bestimmung von Risiko-Faktoren für das Karpaltunnelsyndroms (KTS) Teil II. berufsbedingte Faktoren. Z. Orthop Unfall 150:516–524
Valisena S, Petri GJ, Ferrero A (2018) Treatment of Morton’s neuroma: a systematic review. Foot Ankle Surg 24(4):271–281. https://doi.org/10.1016/j.fas.2017.03.010. Epub 2017 Apr 5
Verdugo RJ, Salinas RS, Castillo J, Cea JG (2008) Surgical versus non-surgical treatment for carpal tunnel syndrome. Cochrane Database Syst Rev:CD001552
Wiberg A et al (2019) A genome-wide association analysis identifies 16 novel susceptibility loci for carpal tunnel syndrome. Nat Commun 10:1030. https://doi.org/10.1038/s41467-019-08993-6
Williams PH, Trzil KP (1991) Management of meralgia paresthetica. J Neurosurg 74(1):76–80
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Assmus, H., Antoniadis, G. (2021). Nervenkompressionssyndrome. In: Antoniadis, G., Harhaus, L., Assmus, H. (eds) Chirurgie peripherer Nerven kompakt. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-62504-0_10
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