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儿科的触发指:诊断的珍珠

Nicholas L Hudock1, Michael W Girgis1, Gabriel D Glaun1

  • 1Department of Orthopaedics and Rehabilitation, Penn State Health Milton S. Hershey Medical Center, Hershey, Pennsylvania, United States.

Journal of paediatrics and child health
|September 3, 2024
PubMed
概括
此摘要是机器生成的。

儿科触发指经常出现飞结节和固定曲收缩,导致误诊. 手术治疗为2-8岁儿童提供了很好的结果.

关键词:
这是Notta的节点.flexor pollicis 长长的肌 肌 长长的肌错误诊断是一个错误的诊断.儿科 儿科 儿科触发器的指是一个指.

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科学领域:

  • 儿科整形医生 儿科整形医生
  • 手术手术手术手术手术
  • 肌肉骨成像系统的成像

背景情况:

  • 触发指 (硬化突) 是儿童常见的疾病.
  • 错误诊断为骨折或脱位可能会由于类似的症状而发生.
  • 早期识别和适当的管理对于最佳结果至关重要.

研究的目的:

  • 为了识别儿科触发指的诊断珍珠.
  • 审查手术治疗的临床表现和结果.
  • 为了提高诊断准确度和减少误诊率.

主要方法:

  • 医疗记录和成像研究的回顾性审查.
  • 在52名儿科患者中分析了64个触发指 (2009年1月 - 2019年12月).
  • 评估临床表现,体检结果和手术结果.

主要成果:

  • 转诊时的平均年龄为2.5岁;手术时的平均年龄为3.2岁.
  • 常见的发现包括飞结 (100%),固定曲形 (73%),和触发 (27%).
  • 46%的患者最初接受了手部X射线,并被误诊;手术提供了完全的症状缓解,没有并发症.

结论:

  • 清晰的体检结果 (状结节,固定曲收缩) 有助于诊断儿科触发指.
  • 为初级保健医生提供加强的肌肉骨教育可以最大限度地减少误诊.
  • 对于具有触发指的2-8岁儿童,手术结果非常好.