与类风湿性疾病相关的手腕道综合征 (综述)
Lenuța Bîrsanu1,2, Georgiana-Anca Vulpoi1,3, Dan Iulian Cuciureanu1,4
1Faculty of Medicine, University of Medicine and Pharmacy 'Grigore T. Popa', Iași 700115, Romania.
Experimental and therapeutic medicine
|August 20, 2024
概括
管综合征 (CTS) 是一种常见的陷神经病变. 类风湿性疾病,特别是类风湿性关节炎,与CTS密切相关,需要在受影响的患者中进行早期诊断和评估.
科学领域:
- 神经学 神经学
- 类风湿病学 类风湿病学
- 整形外科 整形外科 整形外科
背景情况:
- 带道综合征 (CTS) 是全球最普遍的陷神经病变.
- 导致CTS的因素包括肥胖,重复运动,怀孕,遗传和类风湿性关节炎 (RA) 炎症.
- 病理生理机制包括中枢神经的压缩,机械创伤和手腕内的缺血.
研究的目的:
- 调查风湿性疾病 (RDs) 对CTS发生的贡献.
- 检查RD-CTS关系的流行病学,临床,准临床和病原学方面.
主要方法:
- 叙事文学评论. 叙事文学评论. 叙事文学评论. 叙事文学评论.
- 检查流行病学数据,临床表现,准临床发现和病原性.
- 在RD患者的诊断算法中包括电生理学研究,神经肌肉超声波或MRI.
主要成果:
- 在RA患者中,CTS是最常见的神经学发现.
- 在RA,牛皮关节炎和CTS发病率之间存在强烈的相关性.
- 在CTS和系统性红斑狼,Sjögren综合征,Behcet病和系统性硬化症之间观察到较弱的关联.
结论:
- 在具有相关症状的类风湿性疾病患者中,早期怀疑和诊断CTS至关重要.
- 电生理学检查和成像方法,如超声波或MRI,对于准确的评估至关重要.
- 了解共享机制可以帮助缓解与RD人群中CTS相关的疼痛和医疗费用.
相关概念视频
Assessment of the Cardiovascular System III: Palpation
259
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...
259
Autoimmune Disorders
398
Autoimmune diseases are a group of disorders in which the body's immune system mistakenly attacks its own cells, tissues, and organs. This results from an overactive immune response against substances and tissues normally present in the body. Let's delve into the concept and mechanism of autoimmune diseases from an immune system point of view, explore different causes and examples of such diseases, and discuss potential solutions.
Concept and Mechanism of Autoimmune Diseases
The immune...
Concept and Mechanism of Autoimmune Diseases
The immune...
398
Disorders of the Skeletal Muscle
913
The clinical conditions affecting the skeletal muscle tissue are broadly categorized as musculoskeletal and neuromuscular disorders.
Musculoskeletal disorders
Musculoskeletal disorders involve injuries and conditions affecting the skeletal muscles and associated connective tissues. These disorders can arise from acute biomechanical stresses or chronic overuse and can occur across different age groups. Common injuries include sprains, fractures, and muscular strains, often resulting from...
Musculoskeletal disorders
Musculoskeletal disorders involve injuries and conditions affecting the skeletal muscles and associated connective tissues. These disorders can arise from acute biomechanical stresses or chronic overuse and can occur across different age groups. Common injuries include sprains, fractures, and muscular strains, often resulting from...
913


