BMJ Best Practice
最后审核时间: 十月 2018
最近更新时间: 一月 2018

小结

定义

病史和查体

关键诊断因素

  • 存在的危险因素
  • 位于支持带输送鞘上方和周围
  • 疼痛随运动增加而加剧
  • 对麻醉药物注射的响应

其他诊断因素

  • 症状持续几周至几个月

危险因素

  • 40-60 岁年龄段
  • 女性
  • 具有相似病理机制的常见并发症(狭窄性肌腱病变或神经病变)病史
  • 累及惯用手

诊断性检查

首要检查

  • 高分辨率超声扫描
全部具体信息

需要考虑的检查

  • 受累手部和腕部 X 线平片
  • 全血细胞计数 (FBC)
  • 红细胞沉降率 (ESR)
  • C 反应蛋白 (CRP)
全部具体信息

治疗流程

贡献者

Professor

Department of Orthopaedic Surgery

University of Connecticut Health Center

New England Musculoskeletal Institute

Farmington

CT

利益冲突披露
JMW receives research funding from the US Department of Defense and American Society for Surgery of the Hand. She receives a salary as deputy editor of Journal of Hand Surgery and updates editor of the textbook Skeletal Trauma.

Dr Jennifer Moriatis Wolf would like to gratefully acknowledge Dr Doug Campbell, Dr Peter Evans, and Dr Shafic Sraj, the previous contributors to this monograph. DC, PE, and SS declare that they have no competing interests.

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Assistant Professor of Orthopedic Surgery

Harvard Medical School

Brigham and Women's Hospital

Boston

MA

利益冲突披露
PEB declares that he has no competing interests.

Director and Head

Department of Plastic, Hand and Reconstructive Microsurgery and Burns

Ganga Hospital

Coimbatore

India

利益冲突披露
SRS declares that he has no competing interests.

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