Styloid stenosis tenosynovitis est in aseptic inflammatio per dolorem et tumor abductor pollicis longus et extensor pollicis brevis tendinis ad dorsalis carpal vagina ad radiale styloid processus. Symptomatibus peiori pollice extensio et calimor deviationem. In morbo fuit primus nuntiavit per Helvetia chirurgus de quervain in MDCCCXCV, ita radiale styloid stenosis tenosynovitis est quoque ut de quervain morbus.
Morbi est commune in populo qui in crebris carpi et palmar digito actiones, et quoque quae "matris manus" et "Ludus digitus." Cum progressionem in Penitus, numerus populi affectus est morbus augendae et iunior. Ita quomodo ad egritudo et tractare hoc morbo? Et haec dabo vobis brevem introductio ex tribus facies: anatomical structuram, orci diagnosis et curatio modi!
I.Anatomy
Styloid processus radii angustum, vadum sulcus operuit per dorsi carpi ligamentum quod format fibrosum vagina ossea. Pollicis abductor pollicis longus tendinis et extensor pollicis brevis tendinis transire per hoc vagina et ovile ad angulum et terminare ad basis primi metacarpal os et basis ad proximalem Phalanx pollicem, respective (figure I). Cum tendinis labitur, est magna frictio vis, praesertim cum carpi ulnar digredior vel pollicis motus, plex angulus augendae ad fructionem inter tendinis et vagina murum. Post longos repetita longa-terminus, et synovium munera inflammatory mutationes, ut OEDEMA et hyperplasia, causing crassis, adhaesionem et angustiis tendinis et vagina tenosynovitis.
Fig.1 anatomica diagram in styloid processus radii
II.Clinical Diagnose
Medical History 1.The est commune in medio-senex, manual operators, et commune in mulieribus; Ingressus est tardus et signa potest fieri subito.
2.Signs: Localized dolor in styloid processus radii, quod potest radiant ad manum et brachium, pollice infirmitatem, limited pollice extensionem, aggravat symptomata, cum pollice extensio et carpi ulnar deviationem; Palpabilis noduli potest palpabile in styloid processus radii, similitudinem Bony eminentiam, cum notata teneritudine.
3.Finkelstein scriptor test (id est, pugnus ulnar deviationis test) est positivum (ut ostensum est in Figura II), quod pollice est recurvatur et tenuit in palmam, in radio styloid est, et dolore ad radii styloid est processu et dolore ad radium styloid est processum est, et dolore ad radii styloid est processum est aggravatur.
4.auxiliaris examen: X-Ray aut color ultrasound examen potest fieri, si necesse est confirmare utrum sit os deprauationem vel synovitis. The Guidelines for the Multidisciplinary Treatment of Styloid Stenosis Tenosynovitis of the Radius Note that other physical examinations are required to distinguish between osteoarthritis, disorders of the superficial branch of the radial nerve, and forearm cruciate syndrome at the time of diagnosis.
III.Treftment
Conservative Therapylocal Immobilization Lorem: in mane scaena, aegros potest uti an externa fixation ue ad immobilitatem ad motum membrum ad redigendum loci actiones et levare ad frictionem tendinis in tendinis vagina ad consequi metam tendinis tendinis vagina ad consequi metam tendinis tendinis vagina ad consequi metam tendinis tendinis vagina ad consequi metam tendinis in tendinis vagina ad consequi metam curatio. Tamen, immobilization ut non ut ad mm-in loco, et diuturna immobilization ut consequuntur in longa-term motus rigorem. Licet immobilization, assisted aliis treatments sunt empirice in orci usu, efficacia curatio manet controversiae.
Locus LAQUEUS Therapy, sicut malle conservativa Lorem ad orci curatio, loci occliandum Lorem refers to iniectio ad loci dolor situ ad consequi ad loci anti-inflammatory situm ad consequi ad loci anti-inflammatory situm. Nocture leflusive illic potest injicere medicinae in dolore area, iuncturam vagina sac, nervi truncum et aliarum partes, quod potest reducere tumor et relevare dolorem et sublevari in brevi temporis, et ludere maxima partes in curatio loci et ludere maxima partes in curatione loci. In Lorem maxime triamcinolone aconide et Lidocaine hydrochloride. Sodium Hyaluronate injections potest etiam esse. Tamen, hormones potest habere inpedimenta ut post-iniectio dolorem, loci cutis pigmentation, loci telae TEXTUS ATROPHIA, symptomatic radialis nervi injuriam et elevatum sanguinem GLYCOSA. Pelagus contraindications sunt hormone allergy, gravida et lactating aegros. Sodium Hyaluronate sit tutius et potest ne scarring de adhaesionibus circa tendinis et promovere tendinis sanitatem. In orci effectus occlusive illic patet, sed sunt orci tradit digito necrosis fecit per improprium loci iniectio (Figura III).
Fig.3 Partiale LAQUEUS ducit ad NECRISIS de Fingertips Index digitorum: A. cute de manu est patchy, et B, C. media parte index digitus est distanti distant, et fingertips sunt necrosis
DECAUTIONS ad occlitive Lorem in curatio Radii styloid stenosis tenosynovitis: I) in loco est accurate, et clysterem debet abduci ante injiciunt in pharmacum ut iniectio acus non penetrare sanguinem; II), oportet immobilization de motum membrum vitare immaturus labore; 3) After hormone occlusion injection, there are often different degrees of pain, swelling, and even aggravation of pain, generally disappearing in 2~3 days, if finger pain and pallor appear, antispasmodic and anticoagulant therapy should be given quickly, and angiography should be performed to make a clear diagnosis if possible, and vascular exploration should be carried out as soon as possible if necessary, so as not to delay the condition; IV) Hormonal contraindications ut hypertension, diabete, cor morbo, etc., si non tractari cum loci lusu.
Shockwave: est conservativa, non-incursio curatio, quae est utilitatem generandi industria extra corpus et producendo consequitur in targeted areas altum intra corpus absque damnosa in circuitu textuum. Is est effectus a promovendi metabolismi, confirmans sanguinem et lymphatic circulationem, improving TEXTUS nutritionem, dredging clausus capillaries, et laxitas iuncturam mollis TEXTUS adhaesionibus. Tamen, quod coepi nuper in curatio styloid stenosis tenosynovitis de radio, et sua investigationis tradit sunt secundum paucos, et magnis-scale randomized continentur medicinae quod adhuc opus ad providere magis quod-fundatur medical quod promovere ad usum in curatione styloid stenosis tenosynovitis morbo de Radii.
Acupuncture treatment: small acupuncture treatment is a closed release method between surgical treatment and non-surgical treatment, through the dredging and peeling of local lesions, the adhesions are released, and the entrapment of the vascular nerve bundle is more effectively relieved, and the blood circulation of the surrounding tissues is improved through the benign stimulation of the acupuncture, reducing inflammatory exudation, and achieving ad anti-inflammatory et analgesic.
Traditional Chinese Medicine: Radial Styloid stenosis tenosynovitis pertinet ad genus "paralysis syndrome" in medicina et patria et morbus fundatur in defectu et vexillum. Ob longa-term actio in carpi iuncturam, nimia iactabantur, unde in loci Qi et sanguis defectus, hoc dicitur originale defectus; Due to the local qi and blood deficiency, the muscles and veins are lost in nourishment and slippery, and because of the feeling of wind, cold and dampness, which aggravates the blockage of qi and blood operation, it is seen that local swelling and pain and activity are restricted, and the accumulation of qi and blood is more serious and the local spasm is more serious, so it is found that the pain of the movable wrist joint and the first Metacarpophalangeal iuncturam aggravatur in inhaero quod est a vexillum. Erat amet invenitur, quod moxibustion illic, Suspendisse illic, externa curatio traditional Seres medicina et Nulla curatio quaedam orci effectus.
Chirurgicam Treatment: Rectum incisum dorsalis carpi ligamentum de radii et limitata excisio est unum ex treatments ad stenosis tenosynovitis in styloid processus radii. Est idoneam ad aegris cum recurrentes tenosynovitis de radii styloid stenosis, quae inefficax post multiple loci occlusions et alias conservativa treatments et symptoms gravibus. Praesertim in aegris cum stenotic provectus tenosynovitis, quod relieverit gravibus et refracty dolorem.
Direct Surgery: De conventional chirurgicam modum est facere recta incisum ad tenera area, exponere primum dorsalis musculus septum, interficiam in tendinis tendinis, et dimittere tendinis vagina tendinis potest, ut tendinis tendinis potest, ut tendinis tendinis possunt, ut tendinis potestis tendinis tendinis potest, ut tendinis potest, et dimittis tendinis vagina tendinis tendinis potest, et dimittis tendinis vagina tendinis, ut tendinis potest slide libenter in tendinis vagina tendinis potest slide libenter tendinis vagina tendinis potestis. Direct open surgery is quick to achieve, but it carries a series of surgical risks such as infection, and due to the direct removal of the dorsal support band during surgery, tendon dislocation and damage to the radial nerve and vein may occur.
1 SeptoLysis: hoc sacramentum modum non interficiam in crassis tendinis vagina, sed removet Ganglion CYSTA in 1 extensor septum aut secat septum inter abductor pollicis longus et extensor pollicis Brevis dimittere 1 Dorsalis et extensor Septum. Haec ratio est similis directe aperto surgery, cum pelagus difference esse quod post secans extensorem suscipio cohortem, tendinis vagina dimisit et tendinis vagina remota pro per incisionem incisionem tendinis vagina. Licet tendinis subluxation potest esse praesens in hoc modum, is protegit 1 Dorsalis extensoris septum et habet altiorem diu term efficaciam tendinis stabilitatem quam directe resection de tendinis vagina. In incommoda huius modus est maxime ex eo quod incrassata tendinis vagina non remota, et incrassatis tendinis vagina potest adhuc esse inflammatione, oedema, et frictio cum tendinis et ducere ad recurrence et frictioni cum tendinis et ducere ad recursu et frictio cum tendinis et ducunt ad recursu et frictioni cum tendinis et ducere ad recursu et frictio cum tendinis et ducunt ad recursu et frictioni cum tendinis et ducere ad recursu et frictio cum tendinis et ducere ad recursum ad morbum.
Arthroscopic osteofibrous duct augmentation: arthroscopic treatment has the advantages of less trauma, short treatment cycle, high safety, fewer complications and faster recovery, and the biggest advantage is that the extensor support belt is not incised, and there will be no tendon dislocation. Tamen, illic est adhuc controversia, et quidam scholarium credere quod arthroscopic surgery est pretiosa et vicis-perussi, et commoda super recta aperto surgery sunt obvious satis. Ideo arthroscopic curatio plerumque non elegit maioris doctorum et aegris.
Post tempus: Oct-29-2024
