第一个延伸手腕部 (FEWC) 变体和德奎尔温病的临床考虑:一项综述研究
Dimitrios Kotzias1, Christos Koutserimpas1, Dimosthenis Chrysikos2
1Department of Orthopaedics and Traumatology, 251 Hellenic Air Force General Hospital, Athens, GRC.
第一个延伸手腕区 (FEWC) 的解剖学变异很常见. 特定的变体,如肌间隔膜和单扩展器pollicis brevis (EPB) 滑动,与德奎尔温有关.
科学领域:
- 人体解剖学 解剖学 解剖学
- 整形外科 整形外科 整形外科
- 病理生理学 病理生理学
背景情况:
- 第一个延伸手腕区 (FEWC) 呈现出相当大的解剖学变异性.
- 了解这些变体对于阐明德奎尔温紧突炎的病理生理学至关重要.
研究的目的:
- 审查和突出FEWC的解剖变体.
- 为了识别与德奎尔温紧突炎相关的特定FEWC变异.
主要方法:
- 在PubMed和MEDLINE (2002-2022) 上按照PRISMA指南进行了系统的文献搜索.
- 分析包括诸如肌间隔膜,肌滑落数 (APL,EPB),远端插入和骨脊等变异.
- 分析了1277个尸体手腕和1296名德奎尔温患者的数据.
主要成果:
- 在42.9%的手腕中发现了肌间隔膜 (在De Quervain患者中更高).
- 与尸体 (87%) 相比,德奎尔温的患者更频繁地出现了单次EPB滑落 (93%).
- 尸体手腕显示出更多的多重APL滑动 (92.5%) 和骨 (58.9%),而不是患者手腕.
结论:
- 在FEWC内部存在显著的多样性.
- 肌间隔膜的存在和单一的EPB滑动在患有德奎尔韦恩肌炎的个体中更为普遍.
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