Bhaskaranand K, Navadgi B C
Department of Orthopaedics, Kasturba Medical College Hospital, Manipal, Karnataka State, India.
J Hand Surg Br. 2002 Jun;27(3):229-31. doi: 10.1054/jhsb.2001.0746.
We report a series of 18 patients with pain in the thumb or finger tips who were diagnosed as having glomus tumour. Fourteen patients were found to have histopathologically proven glomus tumours, one had a neuroma and three had haemangioma. The duration of symptoms before treatment averaged 1.9 years. Cold-sensitivity and Hildreth's tests have sensitivities of 100% and 77.4% respectively and specificity of 100%. Love's pin test had a sensitivity of 100%. Love's and Hildreth's tests showed 78% accuracy, whereas the cold-sensitivity test was 100% accurate. We used a double-tourniquet technique during dissection and excision of the tumour. None of our patients experienced recurrence of symptoms during the post-operative follow up.
我们报告了一系列18例拇指或指尖疼痛的患者,他们被诊断患有血管球瘤。14例经组织病理学证实为血管球瘤,1例为神经瘤,3例为血管瘤。治疗前症状持续时间平均为1.9年。冷敏试验和希尔德雷思试验的敏感性分别为100%和77.4%,特异性均为100%。洛夫针刺试验的敏感性为100%。洛夫试验和希尔德雷思试验的准确率为78%,而冷敏试验的准确率为100%。我们在肿瘤切除术中采用了双止血带技术。所有患者在术后随访期间均未出现症状复发。