Forthman Christopher L, Segalman Keith A
Curtis National Hand Center, Union Memorial Hospital, Baltimore, MD 21218, USA.
Hand Clin. 2006 Nov;22(4):435-46; abstract vi. doi: 10.1016/j.hcl.2006.07.006.
Lesions and tumors of the carpus are usually identified radiographically during a routine workup for wrist pain. Although most of these entities are benign, a failure to appreciate their presence may delay diagnosis and treatment. More importantly, a small subset of these tumors may be quite aggressive, and early recognition can spare the patient the morbidity of late sequelae such as pathologic fracture, progressive wrist arthrosis, or even tumor metastasis. This article provides current information on how to identify, differentiate, and treat the varied lesions and tumors that may be discovered in the carpus.
腕部的病变和肿瘤通常在对腕部疼痛进行常规检查时通过影像学检查发现。虽然这些病变大多数是良性的,但未能认识到它们的存在可能会延迟诊断和治疗。更重要的是,这些肿瘤中的一小部分可能具有很强的侵袭性,早期识别可以使患者避免诸如病理性骨折、进行性腕关节病甚至肿瘤转移等晚期后遗症的发病风险。本文提供了有关如何识别、鉴别和治疗腕部可能发现的各种病变和肿瘤的最新信息。