腕管综合征的正中神经测量与类固醇注射：一例报告
Median Nerve Measurement and Steroid Injection for Carpal Tunnel Syndrome: A Case Report.
作者信息
Oliva Gregory, McShannic Joseph, Lee Yonghoon, Shalaby Michael
机构信息
Mount Sinai Medical Center Miami Beach, Department of Emergency Medicine, Miami Beach, Florida.
Herbert Wertheim College of Medicine at Florida International University, Department of Emergency Medicine and Critical Care, Miami Beach, Florida.
出版信息
Clin Pract Cases Emerg Med. 2024 Aug;8(3):291-294. doi: 10.5811/cpcem.7194.
INTRODUCTION
Carpal tunnel syndrome is an entrapment neuropathy that affects 3% of adults in the United States. The current techniques used for diagnosis have limited specificity/sensitivity, and the techniques used for treatment have limited efficacy.
CASE REPORT
A 34-year-old female presented to the emergency department with two months of worsening painful paresthesias in her right thenar eminence. Ultrasound was performed showing a median nerve area of 20.4 square millimeters within the carpal tunnel. Median nerve block was performed within the carpal tunnel causing complete resolution of her pain.
CONCLUSION
Emergency physicians skilled in point-of-care ultrasound and needle-guided procedures can diagnose and treat carpel tunnel syndrome.
引言
腕管综合征是一种压迫性神经病变，在美国影响3%的成年人。目前用于诊断的技术特异性/敏感性有限，用于治疗的技术疗效也有限。
病例报告
一名34岁女性因右手鱼际肌两个月来疼痛性感觉异常加重而就诊于急诊科。超声检查显示腕管内正中神经面积为20.4平方毫米。在腕管内进行了正中神经阻滞，她的疼痛完全缓解。
结论
熟练掌握床旁超声和针引导操作的急诊医生可以诊断和治疗腕管综合征。
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