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手部和腕部——手外科医生想从放射科医生那里了解的情况。

Hand and wrist - what the hand surgeon wants to know from the radiologist.

作者信息

Czarnecki Piotr, Siemionow Maria, Baek Goo Hyun, Górecki Michał, Romanowski Leszek

机构信息

Department of Traumatology, Orthopaedics and Hand Surgery, Poznań University of Medical Sciences, Poznań, Poland.

Department of Orthopaedics, The University of Illinois at Chicago, Chicago, Illinois, USA.

出版信息

Pol J Radiol. 2024 Feb 7;89:e70-e79. doi: 10.5114/pjr.2024.135304. eCollection 2024.

Abstract

Hand surgeons, as unique specialists, appreciate the complexity of the anatomy of the hand. A hand is not merely a group of anatomic structures but a separate organ that works by feeling, sending information to the brain, and enabling a variety of movements, from precise skills to firm tasks. Acute and chronic problems interfere with complicated hand function and potentially influence work or daily life activities for a long time. Thus, the surgeon's role is to propose appropriate treatment with predictable results. This paper attempts to specify the preoperative considerations and their influence on the choice of surgical procedure and the assessment of results potentially influencing further treatment. We have divided the manuscript by anatomical structures, which is a natural surgical assessment and planning approach. The most common problems were highlighted to introduce the method of decision-making and surgical solutions.

摘要

手外科医生作为独特的专科医生,深知手部解剖结构的复杂性。手不仅仅是一组解剖结构,而是一个独立的器官,它通过感知、向大脑发送信息以及实现从精细技能到有力任务的各种动作来发挥作用。急性和慢性问题会干扰手部复杂的功能,并可能长期影响工作或日常生活活动。因此,外科医生的职责是提出具有可预测结果的适当治疗方案。本文试图明确术前注意事项及其对手术方式选择的影响,以及对可能影响进一步治疗的结果评估。我们根据解剖结构对手稿进行了划分,这是一种自然的手术评估和规划方法。突出了最常见的问题,以介绍决策方法和手术解决方案。

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