Instr Course Lect. 2023;72:611-616.
Lateral epicondylitis, de Quervain tenosynovitis, and trigger finger are among the most common tendinopathies of the upper extremity. Lateral epicondylitis is a common condition with a prolonged course that can be frustrating for patients. Nonetheless, most patients improve with a simple wait-and-see approach. Therapy has been shown to be helpful and surgical management is usually successful in recalcitrant cases. Cortisone, although commonly used in the past, has been shown to have worse results than placebo in the medium and long term. de Quervain tenosynovitis responds well to nonsurgical measures including bracing treatment, therapy, and cortisone. Surgery is effective, although neuritis of the radial sensory nerve is a notable complication. Trigger finger is strongly associated with diabetes and is typically treated with cortisone or surgery. With a thoughtful and well-researched approach, any of these conditions can be successfully managed by a community orthopaedic specialist.
外侧上髁炎、de Quervain 腱鞘炎和扳机指是上肢最常见的几种肌腱病。外侧上髁炎是一种常见的疾病，病程较长，可能会让患者感到沮丧。尽管如此，大多数患者通过简单的观望态度就能得到改善。治疗已被证明是有效的，手术治疗通常对顽固病例也很成功。尽管皮质类固醇在过去被广泛应用，但从中长期来看，其效果比安慰剂还差。de Quervain 腱鞘炎对非手术治疗反应良好，包括支架治疗、治疗和皮质类固醇。手术也是有效的，尽管桡神经感觉支神经炎是一个显著的并发症。扳机指与糖尿病密切相关，通常用皮质类固醇或手术治疗。通过深思熟虑和精心研究的方法，社区骨科专家可以成功治疗这些疾病。
