触发指和手掌道综合征:同时发生和风险的元分析
Péter Sallai1, Barbara Sebők2, Luca Hergár3
1St. Pantaleon Hospital, Dunaújváros, Hungary; Saska-Med Bt. Dunaújváros, Hungary.
Journal of plastic surgery and hand surgery
|May 5, 2025
概括
管综合征 (CTS) 和触发指 (TF) 经常一起发生. 在CTS和手术后,TF更常见,这表明在CTS检查期间需要早期TF症状评估.
科学领域:
- 整形外科和手术手术
- 系统性审查和元分析
背景情况:
- 带道综合征 (CTS) 和触发指 (TF) 是普遍存在的手部疾病.
- 关于它们同时出现的临床意义的高层证据有限.
研究的目的:
- 量化CTS和TF对其他疾病患病率的影响.
- 评估CTS和TF手术对替代性疾病发生率的影响.
主要方法:
- 在遵守PRISMA指南的基础上进行系统审查.
- 数据来源于大型数据库,在PROSPERO (CRD42022382672) 中注册.
主要成果:
- 触发指 (TF) 在患有手掌道综合征 (CTS) 的患者中明显更常见.
- 在CTS的外科手术后,TF也更为普遍.
结论:
- 在CTS评估期间,临床医生应积极查TF症状.
- 早期保守的TF管理或与CTS手术并发的手术治疗可能是有益的.
相关概念视频
Assessment of radial pulse
Assessment of Radial Pulse
The radial pulse, located at the wrist, is often the preferred site for assessing peripheral pulse because of its accessibility and dependability. The process of determining the radial pulse involves several steps:
The radial pulse, located at the wrist, is often the preferred site for assessing peripheral pulse because of its accessibility and dependability. The process of determining the radial pulse involves several steps:
Sympathetic Activation
The sympathetic division can influence tissues and organs by releasing norepinephrine at peripheral synapses and distributing epinephrine and norepinephrine through the bloodstream. In times of crisis or stress, sympathetic activation occurs, which is regulated by sympathetic centers in the hypothalamus. As a result, sympathetic activation prepares the body for physical exertion, rapid ATP production, and heightened alertness, allowing individuals to respond effectively to challenging or...
Physical Assessment of the Respiratory Tract II: Palpation
Physical assessment of the respiratory tract is critical in identifying potential health issues. One key component of this assessment is palpation, a technique healthcare providers use to assess the body for abnormalities. This content explores the method of palpation in evaluating the respiratory tract, focusing on thoracic palpation and tactile fremitus.
Thoracic Palpation
Thoracic palpation detects tenderness, masses, lesions, respiratory excursions, and vocal fremitus. The nurse assesses...
Thoracic Palpation
Thoracic palpation detects tenderness, masses, lesions, respiratory excursions, and vocal fremitus. The nurse assesses...
Assessment of the Abdomen III: Palpation
Palpation is a crucial tactile examination method for assessing abdominal organs and detecting conditions like tenderness, distention, masses, or fluid. It involves both light and deep palpation techniques, each serving specific diagnostic purposes. Light palpation helps identify tenderness and other surface-level indicators, while deep palpation locates and assess abdominal masses and organ boundaries. A skilled professional can gather valuable insights through palpation, including evaluating...
Assessment of the Cardiovascular System III: Palpation
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 the...
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 the...
Hazard Ratio
The hazard ratio (HR) is a widely used measure in clinical trials to compare the risk of events, such as death or disease recurrence, between two groups over time. It reflects the ratio of hazard rates—the instantaneous risk of the event occurring—between a treatment group and a control group. This measure provides valuable insights into the relative effectiveness of a treatment by assessing how the risk of an event differs between the two groups.
For example, in a clinical trial evaluating a...
For example, in a clinical trial evaluating a...


