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扳机指

Trigger Wrist.

作者信息

Park Il-Jung, Lee Yoon-Min, Rhee Seung-Koo, Song Seok-Whan, Kim Hyung-min, Choi Ki-Bum

机构信息

Department of Orthopedic Surgery, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Bucheon, Korea.

Department of Orthopedic Surgery, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.

出版信息

Clin Orthop Surg. 2015 Dec;7(4):523-6. doi: 10.4055/cios.2015.7.4.523. Epub 2015 Nov 13.

DOI:10.4055/cios.2015.7.4.523
PMID:26640639
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4667124/
Abstract

Trigger wrist is a relatively rare disease compared to trigger finger, which is the most common disorder found in hands. Patients with trigger wrist usually complain about the following symptoms: snapping and clicking or triggering around carpal tunnel with or without mild to moderate median neuropathy. There are a total of five cases of trigger wrist: three cases of anomalous muscle belly of flexor digitorum superficialis and two cases of fibroma around flexor tendon sheath within carpal tunnel. This study reports on two of those cases: one with anomalous muscle and the other with fibroma of flexor tendon sheath. Accurate examination and proper diagnosis are mandatory to obviate improper and time-wasting treatment for patients with trigger wrist.

摘要

与扳机指相比,扳机腕是一种相对罕见的疾病,扳机指是手部最常见的病症。扳机腕患者通常会抱怨以下症状:腕管周围有弹响、卡嗒声或卡顿,伴有或不伴有轻至中度正中神经病变。共有5例扳机腕病例:3例为指浅屈肌异常肌腹,2例为腕管内屈肌腱鞘周围纤维瘤。本研究报告其中2例病例:1例为异常肌肉,另1例为屈肌腱鞘纤维瘤。对于扳机腕患者,准确的检查和正确的诊断是避免不恰当和浪费时间的治疗所必需的。

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"Trigger finger at the wrist" due to anomalous flexor digitorum superficialis muscle belly within the carpal tunnel.腕管内异常的指浅屈肌肌腹导致的“腕部扳机指”
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Trigger wrist due to anomalous flexor digitorum profundus muscle in association with fibroma of tendon sheath.因异常的指深屈肌与腱鞘纤维瘤相关联导致的扳机指。
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[Carpal tunnel syndrome and "trigger wrist" revealing a tendinous sheath fibroma].[腕管综合征和“扳机指”提示腱鞘纤维瘤]
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引用本文的文献

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Trigger Wrist Caused by a Rheumatoid Nodule on the Flexor Pollicis Longus Tendon.拇长屈肌腱上的类风湿结节导致扳机指
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Trigger Wrist with Carpal Tunnel Syndrome Accompanied with Trifid Median Nerve: A Case Report and Literature Review.伴有腕管综合征及三叉形正中神经的扳机指:一例报告及文献复习
Arch Plast Surg. 2022 Dec 13;49(6):750-754. doi: 10.1055/a-1947-2834. eCollection 2022 Nov.
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Complex trigger wrist associated with carpal tunnel syndrome: a case report.

本文引用的文献

1
Trigger digits: principles, management, and complications.扳机指:原理、治疗及并发症
J Hand Surg Am. 2006 Jan;31(1):135-46. doi: 10.1016/j.jhsa.2005.10.013.
2
Trigger wrist and flexor tenosynovitis.扳机指与屈指肌腱腱鞘炎
J Hand Surg Br. 1998 Dec;23(6):813-4. doi: 10.1016/s0266-7681(98)80106-x.
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Trigger wrist induced by finger movement. Pathogenesis and differential diagnosis.手指运动诱发的扳机指。发病机制与鉴别诊断。
复杂扳机腕伴腕管综合征:病例报告。
J Med Case Rep. 2022 Nov 13;16(1):415. doi: 10.1186/s13256-022-03645-8.
4
Deep Fascia Condensation Mimicking Accessory Extensor Tendon Causing Snapping of Wrist: An Unusual Case.模仿副伸肌腱导致腕关节弹响的深部筋膜挛缩:1例罕见病例
Eplasty. 2022 Mar 8;22:ic3. eCollection 2022.
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A Clinical Approach to Diagnosing Trigger Wrist.诊断扳机指的临床方法。
Indian J Orthop. 2020 Sep 5;55(2):492-497. doi: 10.1007/s43465-020-00248-7. eCollection 2021 Apr.
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Identification of Aberrant Muscle Bellies in the Carpal Tunnel using Sonography.使用超声检查识别腕管内的异常肌腹
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Intrasynovial spindle cell lipoma of the deep flexor of the middle finger causing intermittent carpal tunnel syndrome-case report and review of the literature.引起间歇性腕管综合征的中指屈指深肌滑膜内梭形细胞脂肪瘤——病例报告及文献复习
J Ultrasound. 2020 Sep;23(3):419-423. doi: 10.1007/s40477-018-0281-x. Epub 2018 Feb 10.
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Trigger finger at wrist caused by degenerative changes of the flexor tendon sheath and carpal tunnel syndrome: a case report.屈肌腱鞘退变及腕管综合征导致的腕部扳机指:一例报告
Case Reports Plast Surg Hand Surg. 2017 May 19;4(1):48-51. doi: 10.1080/23320885.2017.1331135. eCollection 2017.
Handchir Mikrochir Plast Chir. 1994 Jan;26(1):3-6.
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The flexor digitorum superficialis as a cause of bilateral carpal-tunnel syndrome and trigger wrist. A case report.
J Bone Joint Surg Am. 1980 Jan;62(1):134-5.
5
Trigger wrist due to anomalous flexor digitorum profundus muscle in association with fibroma of tendon sheath.因异常的指深屈肌与腱鞘纤维瘤相关联导致的扳机指。
Hand. 1982 Feb;14(1):59-60. doi: 10.1016/s0072-968x(82)80043-0.
6
Trigger wrist: report of two cases.扳机指:两例报告。
Br J Plast Surg. 1972 Oct;25(4):376-9. doi: 10.1016/s0007-1226(72)80079-1.
7
Trigger wrist caused by a giant cell tumour of tendon sheath.腱鞘巨细胞瘤导致的扳机指。
J Hand Surg Br. 1985 Feb;10(1):121-3. doi: 10.1016/s0266-7681(85)80038-3.
8
Trigger wrist: a case report.
J Hand Surg Am. 1985 Jan;10(1):61-3. doi: 10.1016/s0363-5023(85)80248-3.
9
Clicking at the wrist due to fibroma in an anomalous lumbrical muscle: a case report and review of literature.异常蚓状肌纤维瘤导致腕部弹响:一例报告并文献复习
J Hand Surg Am. 1986 Jul;11(4):512-4. doi: 10.1016/s0363-5023(86)80186-1.