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The muscles of the forearm that move the wrist, hand, and digits are numerous and diverse. They can be classified into two groups based on their location and function — the anterior and posterior compartment muscles.
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Somatic spinal reflexes are rapid, involuntary muscular responses to external stimuli that involve the somatic musculature and the spinal cord.
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[触发指陷和差异诊断] 这是一个很好的方法.

A Cavalcanti Kußmaul1, A Ayache2, F Unglaub2,3

  • 1Klinik für Orthopädie und Unfallchirurgie, Muskuloskelettales Universitätszentrum München (MUM), Klinikum der Universität München, LMU München, Marchioninistr. 15, 81377, München, Deutschland. adrian.kussmaul@med.uni-muenchen.de.

Orthopadie (Heidelberg, Germany)
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PubMed
概括

一个突出的关节结核病在患者中引起了持续的触发指症状,即使在A1环状带释放后. 手术切除了结节,成功地恢复了正常的手指运动.

关键词:
外静止症 (Exostosis) 是一种外静止症.带,关节带,关节带甲手腕关节 (Metacarpophalangeal joint) 的关节,是指指手臂的侧侧侧关节.一个指尖尖尖的手指.缩性肌炎是一种肌炎.

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科学领域:

  • 整形外科手术 整形外科手术
  • 放射学 放射学是一门学科.
  • 手术手术手术手术手术

背景情况:

  • 触发指,或狭窄性紧关节炎,提出了诊断挑战,特别是当症状在手术后持续时.
  • A1环状带是触发指治疗中释放手术的常见部位.
  • 重复性触发指病例需要探索除了简单的带粘附之外的替代病因.

研究的目的:

  • 由于未被诊断的突出关节结核病导致的持续性触手指病例.
  • 突出CT在识别导致触发指的骨异常方面的诊断实用性.
  • 为了证明涉及结核切除的手术修复的疗效.

主要方法:

  • 一个32岁的男性的病例报告,右手食指持续点击.
  • 诊断成像包括计算机断层扫描 (CT) 和磁共振成像 (MRI).
  • 涉及修复A1环带释放和关节结核切除的同时进行的手术.

主要成果:

  • CT显示出突出的关节结核病是持续症状的可能原因.
  • 核磁共振扫描没有显示显著的病理发现,强调软组织成像对骨原因的局限性.
  • 手术后的康复显示,手指的平滑移动性得到恢复,没有再次发生断裂.

结论:

  • 一个突出的关节结核病可以模仿或复杂的触发指诊断.
  • CT是诊断触手指骨病因的一个有价值的工具.
  • 违规骨突出部的外科切除是耐火触手指病例的有效治疗方法.