在手腕道释放后,关节炎是触发指发生的相关风险因素吗? 一个全国性的,基于韩国人口的研究
Young Sun An1, Jong Won Gil2, Sang Ki Lee3
1Department of Orthopedic Surgery, Eulji University College of Medicine, 1306 Dunsan-dong, Seo-gu, Daejeon, 35233, Korea.
International orthopaedics
|January 2, 2024
概括
手关节炎是手管释放 (CTR) 后发展触发指 (TF) 的重要危险因素. 这项研究证实,CTR手术后关节炎增加TF风险.
科学领域:
- 整形外科 整形外科 整形外科
- 手术手术手术手术手术
- 类风湿病学 类风湿病学
背景情况:
- 管释放 (CTR) 是一个常见的手术,用于管综合征 (CTS).
- 触发指 (TF) 可以发展后CTR,影响患者的结果.
- 手部关节炎增加的摩擦可能会导致CTR后的TF发展.
研究的目的:
- 调查手关节炎与手通道释放 (CTR) 后触发指 (TF) 的发生率之间的关联.
- 为了确定关节炎是否是FT发展的重要风险因素,在接受CTS的CTR的患者中.
主要方法:
- 使用韩国国家医疗保险服务数据 (2002-2015) 进行的回顾性队列研究.
- 确定了在CTR后一年内发展TF的患者.
- 在有或没有CTR后TF的患者之间比较人口统计和并发症数据,包括关节炎.
主要成果:
- 患有TF后CTR的患者患关节炎的患病率更高 (32.55%vs16.79%).
- 在CTR (OR,1.35;P = 0.049) 之后,关节炎被确定为FT的显著风险因素.
- 在TF组中也注意到甲状腺功能低下的比率更高.
结论:
- 手关节炎是手腕道释放后触发指的重要危险因素.
- 管理关节炎对于预防CTR后的TF可能很重要.
- 需要进一步研究关节炎和TF之间的生物力学联系.
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