脚升高标志 - - 一个新的标志,用于评估胸部出口综合征
Panu H Nordback1,2, Sandeep J Sebastin1, Zachary Z Yong1
1Department of Hand and Reconstructive Microsurgery, National University Hospital, Singapore.
The journal of hand surgery Asian-Pacific volume
|May 10, 2024
概括
护甲升高标志 (SES) 是胸部外出综合征 (TOS) 的简单而敏感的诊断工具,在患者中具有很高的患病率,并在评估治疗结果时具有有用性.
科学领域:
- 整形外科 整形外科 整形外科
- 神经学 神经学
- 血管外科 血管外科
背景情况:
- 胸腔出口综合征 (TOS) 是一种由神经血管结构的压缩而形成的疾病.
- 在TOS患者中观察到一种新的身体检查发现,即头骨上升标志 (SES).
研究的目的:
- 为了确定SES在健康人群中的患病率.
- 为了比较SES的诊断准确性与TOS的已知挑性测试.
- 评估SES在评估TOS治疗有效性的有用性.
主要方法:
- 对无症状个体中SES患病率的前性评估.
- 在TOS患者中,SES和四个挑性测试 (关节上压力,面测试,EAST,军事支架) 的回顾性分析.
- 在非手术和手术干预之前和之后评估SES.
主要成果:
- 在正常队列中,SES的患病率为4%.
- 在TOS患者中,SES显示出90%的阳性率,明显高于其他挑性测试.
- 在治疗后患有持续症状的患者中,SES仍然呈阳性,这表明它在结果评估中的有用性.
结论:
- 头巾升高标志 (SES) 是一个简单,敏感和可靠的诊断标志物,用于胸部出口综合征 (TOS).
- 在TOS患者的初始诊断和监测治疗反应方面,SES是有价值的.
- 该测试的易于执行和客观性质使其适合常规临床使用.
相关概念视频
Assessment of the Cardiovascular System III: Palpation
318
Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
318
Assessment of Airway, Skin Color, and Use of Accessory Muscles
993
A thorough assessment of respiratory health is paramount in clinical settings to identify and manage respiratory distress and ensure adequate oxygenation. This article elaborates on the critical aspects of respiratory evaluation, including airway assessment, skin color examination, and the observation of accessory muscle use, which are integral to effectively diagnosing and managing patients with respiratory conditions.
Introduction
The initial evaluation of a patient's respiratory system...
Introduction
The initial evaluation of a patient's respiratory system...
993
Flail Chest-II
165
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
165
Assessment of the Cardiovascular System II: Inspection
227
Inspection is the initial step in assessing the cardiovascular system. It involves a detailed visual examination that provides crucial information about a patient's circulatory and cardiac health. This systematic process, conducted from head to toe, helps identify signs of cardiovascular conditions by observing physical appearance, skin and mucous membranes, jugular and carotid pulsations, chest symmetry, and the condition of the extremities.
Head and Neck
Head and Neck
227
Physical Assessment of the Respiratory Tract II: Inspection
283
Physical assessment of the respiratory tract through inspection is a crucial step in understanding the patient's respiratory health. It provides insights into the functioning of the respiratory system, the musculoskeletal structure, and even the patient's nutritional status. This comprehensive approach involves observing several vital aspects: chest configuration, breathing patterns, respiratory rates, skin color, and use of accessory muscles.
Chest Configuration
The chest configuration...
Chest Configuration
The chest configuration...
283


