机械诊断与治疗在一名被诊断为桡骨茎突狭窄性腱鞘炎患者中的应用：一项病例研究。
Application of mechanical diagnosis and therapy to a patient diagnosed with de Quervain's disease: a case study.
作者信息
Kaneko Shouta, Takasaki Hiroshi, May Stephen
机构信息
Shinoro Orthopedic, 4-5-3-9, Shinoro, Kita-ku, Sapporo, Hokkaido, Japan.
出版信息
J Hand Ther. 2009 Jul-Sep;22(3):278-83; quiz 284. doi: 10.1016/j.jht.2009.03.002. Epub 2009 May 27.
STUDY DESIGN
Single case report.
INTRODUCTION
Mechanical diagnosis and therapy (MDT) is widely used in the management of both spinal disorders and extremity problems. However, there is no study that has introduced the application of this concept to hand therapy.
PURPOSE OF THE STUDY
To demonstrate the application of MDT to a patient with a thumb problem, which was diagnosed as de Quervain's disease.
METHODS
According to MDT principles, the thumb pain was assessed and treated.
RESULTS
Radio carpal joint distraction with thumb metaphalangeal flexion combined with wrist ulnar deviation was found as the directional preference, which abolished the thumb pain. After the repeated movements Finkelstein test and tenderness to pressure became negative.
CONCLUSIONS
A patient apparently presenting with de Quervain's disease was classified as derangement syndrome using MDT. The pain was rapidly and successfully treated with self-management exercises.
LEVEL OF EVIDENCE
研究设计
单病例报告。
引言
机械诊断与治疗（MDT）广泛应用于脊柱疾病和四肢问题的管理。然而，尚无研究将这一概念引入手部治疗。
研究目的
展示MDT在一名被诊断为桡骨茎突狭窄性腱鞘炎的拇指问题患者中的应用。
方法
根据MDT原则，对拇指疼痛进行评估和治疗。
结果
发现桡腕关节牵引并拇指掌指关节屈曲联合腕关节尺偏为方向偏好，可消除拇指疼痛。重复进行握拳尺偏试验和压痛检查后结果变为阴性。
结论
一名明显表现为桡骨茎突狭窄性腱鞘炎的患者使用MDT被归类为紊乱综合征。通过自我管理练习，疼痛得到了快速且成功的治疗。
证据级别
4级。
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