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尺侧腕部疼痛的诊断:非专科医生的实用方法。

Diagnosis of ulnar-sided wrist pain: a pragmatic approach for the non-specialist.

作者信息

Sevenoaks Hannah, Khan Shah Hm, Younis Fizan

机构信息

Specialist Registrar, Department of Trauma and Orthopaedics, East Lancashire Hospitals NHS Trust, Blackburn.

Consultant Musculoskeletal Radiologist, Department of Radiology, East Lancashire Teaching Hospitals NHS Trust, Blackburn, and Honorary Senior Lecturer, University of Central Lancashire, Preston.

出版信息

Br J Hosp Med (Lond). 2019 Aug 2;80(8):456-460. doi: 10.12968/hmed.2019.80.8.456.

Abstract

Ulnar-sided wrist pain is often unfairly labelled as the 'back pain' of the wrist. This reputation comes from the complexity of diagnosing problems related to this area of the wrist. This article summarizes the anatomy and biomechanics of the wrist and presents a logical approach to diagnosing the aetiology of the pain. The problems are categorised based on the anatomical structure from which the pain arises: either bony, soft tissue-related or arising from nerves or vascular structures. The article also outlines the relevant examination findings and the most appropriate investigation that would yield a diagnosis with any given presentation. A linked article detailing the imaging of ulnar-sided wrist pain is included in this issue (10.12968/hmed.2019.80.8.461).

摘要

尺侧腕痛常常被不公平地贴上腕部“背痛”的标签。这种名声源于诊断与腕部该区域相关问题的复杂性。本文总结了腕部的解剖结构和生物力学,并提出了一种诊断疼痛病因的合理方法。这些问题根据疼痛产生的解剖结构进行分类:要么是骨性的、与软组织相关的,要么是由神经或血管结构引起的。本文还概述了相关的检查结果以及针对任何特定表现做出诊断的最合适的检查方法。本期包含一篇详细介绍尺侧腕痛影像学的相关文章(10.12968/hmed.2019.80.8.461)。

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