"指甲文件标志":报告了三个不同病因的病例
Vasudeva G Iyer1, Lisa B Shields2, Yi Ping Zhang2
1Clinical Neurophysiology, Neurodiagnostic Center of Louisville, Louisville, USA.
Cureus
|December 8, 2025
概括
"指甲文件标志"有助于通过测试手指曲来诊断部神经神经病变. 它的存在表明 flexor digitorum profundus 肌肉附近的病变,有助于局部化.
科学领域:
- 神经学 神经学
- 人体解剖学 解剖学 解剖学
- 诊断医学 诊断医学 诊断医学
背景情况:
- 部神经神经病变很常见,有几种临床症状有助于诊断.
- 准确地定位部神经损伤对于有效治疗至关重要.
- "指甲文件标志"是最近描述的节神经功能障碍的临床标志.
研究的目的:
- 评估"指甲文件标志"在局部化部神经病变中的诊断实用性.
- 为了呈现例例说明"指甲文件标志"在部神经病变的不同病因.
- 强调在部神经病的评估中测试远端间关节曲的重要性.
主要方法:
- 临床检查侧重于"指甲文件标志" (小手指和戒指的DIP关节的屈曲).
- 一系列病例描述了三名患有突神经病变明显原因的患者.
- 对诊断程序的审查,包括电子诊断研究和超声波.
主要成果:
- "指甲文件标志"在所有三名患者身上都存在,表明部神经病变接近曲指甲深部 (FDP) 肌肉分支.
- 病因包括肘部囊压缩,肘部道陷和FDP肌损伤.
- 这种迹象与戒指和小指的远端间关节曲的弱点相关.
结论:
- "指甲文件标志"是一个有价值的临床指标,用于定位部神经病变.
- 测试DIP关节曲是评估部神经病变的重要组成部分.
- 超声波和电诊断研究是确认位置和原因的补充.
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