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[对用于诊断腕管综合征的手法的批判性分析]

[Critical analysis of the manoeuvres proposed for the diagnosis of the carpal tunnel syndrome].

作者信息

Ramonda R, Punzi L, Vangelista T, Todesco S

机构信息

Cattedra e Divisione di Reumatologia, Dipartimento di Scienze Mediche e Chirurgiche, Università degli Studi di Padova, Italia.

出版信息

Reumatismo. 2002 Apr-Jun;54(2):156-64. doi: 10.4081/reumatismo.2002.156.

Abstract

Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy. It is mainly due to the compression of median nerve at the wrist and it may be idiopathic or secondary to different rheumatic or non rheumatic diseases, including occupational activities. Since signs and symptoms of CTS are characteristic, a careful examination of the affected patient may be very satisfactory for the diagnosis, in particular by means of some manoeuvres. In this review we described and commented the tests considered most useful in the diagnosis of CTS. We also analysed the diagnostic values of electromyography, the most important electrodiagnostic study for the CTS.

摘要

腕管综合征(CTS)是最常见的卡压性神经病。它主要是由于正中神经在腕部受到压迫,可能是特发性的,也可能继发于不同的风湿性或非风湿性疾病,包括职业活动。由于腕管综合征的体征和症状具有特征性,对受影响患者进行仔细检查可能对诊断非常有帮助,特别是通过一些手法检查。在本综述中,我们描述并评论了被认为对腕管综合征诊断最有用的检查。我们还分析了肌电图的诊断价值,这是腕管综合征最重要的电诊断研究。

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