Bay Charles O A, Willacy Rolanda A, Moses Akini R, Coleman Thomas E, Wilson Robert H
Howard University College of Medicine, Howard University Hospital, 520 W St NW, Washington, DC, 20059, USA.
Department of Orthopedic Surgery and Rehabilitation, Howard University Hospital, 2401 Georgia Ave NW Suite 4300, Washington, DC. 20060, USA.
J Orthop. 2020 Jun 13;22:308-315. doi: 10.1016/j.jor.2020.06.011. eCollection 2020 Nov-Dec.
Determining the cause of wrist pain is a challenge for clinicians due to the complex biomechanical characteristics of the multiple articulations which comprise the wrist, and the intricacies of the soft tissue supporting them. Patients presenting with wrist pain can be diagnosed by obtaining a detailed history, physical examination and radiographic images. For some patients, a diagnosis remains elusive even after a complete appropriate work up, and the pain may persist following conservative management. The aim of this systematic review was to analyze the effect that psychosocial factors have on the development chronic idiopathic wrist pain in children and adolescents.
由于构成手腕的多个关节具有复杂的生物力学特性以及支撑它们的软组织的复杂性，确定手腕疼痛的原因对临床医生来说是一项挑战。出现手腕疼痛的患者可以通过获取详细病史、进行体格检查和拍摄X光片来诊断。对于一些患者来说，即使经过全面适当的检查，诊断仍然难以确定，并且在保守治疗后疼痛可能持续存在。本系统评价的目的是分析社会心理因素对儿童和青少年慢性特发性手腕疼痛发展的影响。
