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经皮超声引导下腕管和扳机指松解:生物力学、临床结果、技术进展。

Percutaneous Sonographically Guided Release of Carpal Tunnel and Trigger Finger: Biomechanics, Clinical Results, Technical Developments.

机构信息

Department of Orthopaedics and Traumatology, ULB Erasme University Hospital, Université Libre de Bruxelles, 808 Route de Lennik, Brussels 1070, Belgium.

Laboratory of Functional Anatomy, Faculty of Motor Sciences, Université Libre de Bruxelles, Campus Erasme CP 619, 808 Route de Lennik, Brussels 1070, Belgium.

出版信息

Hand Clin. 2022 Feb;38(1):91-100. doi: 10.1016/j.hcl.2021.08.010.

Abstract

The interventional use of sonography is growing fast, and percutaneous sonographically guided release is more and more used as minimally invasive treatment of carpal tunnel syndrome as well as trigger finger digit. The benefits of these procedures seem promising in clinical studies, but biomechanical studies comparing these procedures with open classical surgery are scarce. Minimally invasive releases of carpal tunnel and trigger finger could limit the phenomenon of tendon bowstringing observed after open surgery. A new model is presented to compare the biomechanical effects of open and sono-guided carpal tunnel and trigger finger releases.

摘要

超声介入技术发展迅速,经皮超声引导下松解术作为治疗腕管综合征和扳机指的微创方法越来越多地被应用。这些手术的临床研究结果令人鼓舞,但与传统开放式手术相比,很少有研究比较这些手术的生物力学。微创腕管和扳机指松解术可限制开放式手术后观察到的肌腱弓弦现象。本文提出了一种新的模型来比较开放式和超声引导下腕管和扳机指松解术的生物力学效果。

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