前臂升高压缩测试:一种针对手腕道综合征的新型测试
1Department of Neuroimmunology, Blizard Institute, 4 Newark St, London E12AT.
概括
一项针对手腕道综合征 (CTS) 的新床边测试,前臂升高压缩测试 (FECT),显示出迅速诊断的希望. 虽然它可能具有很高的错误阳性率,但修改可能会提高其临床效用.
科学领域:
- 神经学 神经学
- 整形外科 整形外科 整形外科
- 诊断医学 诊断医学 诊断医学
背景情况:
- 患者接触时间的减少需要快速的诊断工具.
- 带道综合征 (CTS) 诊断在床边可能具有挑战性.
研究的目的:
- 引入和评估前臂升高压缩测试 (FECT) 用于诊断CTS.
- 将FECT的疗效与已确定的临床症状和神经生理学测试进行比较.
主要方法:
- 前臂升高压缩测试 (FECT) 在40名怀疑患有CTS的患者和85名健康对照中进行.
- 将FECT结果与Tinel的标志,Phalen的标志以及电肌图/神经传导测试 (EMG/NCT) 相比较.
主要成果:
- 在疑似CTS病例中,FECT经常表现为阳性.
- 在临床上怀疑CTS但EMG/NCT正常的患者中,FECT在所有情况下都是阳性 (87.5%的阳性预测值).
- 在使用FECT的健康对照中观察到显著的错误阳性率 (21.2%) .
结论:
- 在怀疑手掌道综合征的临床评估中,FECT是有价值的辅助.
- 修改测试,将刺痛发作的延迟时间限制在10秒或更短 (FECT2) 可能会减轻错误阳性.
相关概念视频
Assessment of the Cardiovascular System III: Palpation
296
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...
296
Spinal Nerves: Plexus I
832
Nerve plexuses are networks of interlacing nerves that serve as communication hubs to distribute and organize nerve action across various body regions. The nerve plexuses are organized into the cervical plexus located in the neck region, brachial plexus in the shoulder area, lumbar plexus found in the lower back, sacral plexus situated in the pelvis, and coccygeal plexus located in the coccygeal region.
The Cervical Plexus
The cervical plexus, formed by the anterior rami of the first four...
The Cervical Plexus
The cervical plexus, formed by the anterior rami of the first four...
832
Bones of the Upper Limb: Radius
2.2K
The radius is longer of the two bones that make up the human antebrachium or forearm. At the proximal end, the radius articulates with the capitulum of the humerus and the radial notch of the ulna to form the elbow joint. At the distal end, the radius articulates with the ulna via the ulnar notch, forming the distal radioulnar joint. Distally, the radius also attaches to the carpal wrist bones (scaphoid and lunate) to form the radiocarpal joint.
The radius has a nail-shaped head, and a...
The radius has a nail-shaped head, and a...
2.2K
Arteries of the Upper Limbs
512
The subclavian artery transitions into the axillary artery as it exits the chest and enters the axillary region. This artery is critical for supplying blood to the shoulder area, including the head of the humerus, through the humeral circumflex arteries. As the vessel continues into the upper arm or brachium, it becomes the brachial artery. This artery plays a key role in vascularizing the brachial region and bifurcates at the elbow into several branches. These branches include the deep...
512
Exercise Stress Test
192
Introduction
Exercise stress testing, commonly known as a treadmill test, is a noninvasive procedure used to evaluate cardiovascular function and diagnose heart conditions.
Definition
An exercise stress test measures the heart's response to exertion using a treadmill or stationary bicycle. Chest electrodes record the heart's electrical activity through an ECG, and blood pressure is monitored regularly.
Purposes
Exercise stress testing, commonly known as a treadmill test, is a noninvasive procedure used to evaluate cardiovascular function and diagnose heart conditions.
Definition
An exercise stress test measures the heart's response to exertion using a treadmill or stationary bicycle. Chest electrodes record the heart's electrical activity through an ECG, and blood pressure is monitored regularly.
Purposes
192
Assessment of blood pressure in brachial artery(one-step method)
573
This procedural guide systematically measures blood pressure using an oscillometric digital sphygmomanometer, emphasizing accuracy, patient safety, and comfort.
Prepare for the Procedure:
Prepare for the Procedure:
573


