Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, 3701 Market Street, 7th Floor, Philadelphia, PA 19104, USA.
Med Clin North Am. 2021 Jan;105(1):187-197. doi: 10.1016/j.mcna.2020.08.016. Epub 2020 Nov 7.
Primary care providers frequently care for complaints of the hands and feet. Here, the author describes the typical presentations of hand osteoarthritis, carpal tunnel syndrome, ganglion cysts, plantar fasciitis, onychomycosis, and Morton neuroma. Useful physical examination techniques are described. The history and physical examination are usually sufficient to diagnose these conditions without the need for more advanced testing. All of these conditions have evidence-based therapy that can be initiated by the primary care provider. These treatments as well as reasons to refer to a specialist are reviewed.
初级保健医生经常会处理手和脚的问题。在这里,作者描述了手骨关节炎、腕管综合征、腱鞘囊肿、足底筋膜炎、甲真菌病和莫顿神经瘤的典型表现。还介绍了有用的体格检查技术。这些疾病通常仅依据病史和体格检查即可诊断,无需进一步的检查。所有这些疾病都有基于证据的治疗方法,可由初级保健医生来启动。本文还回顾了这些治疗方法以及转至专科医生的原因。