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感觉异常性手痛和线性萎缩作为局部类固醇注射的并发症

Cheiralgia paresthetica and linear atrophy as a complication of local steroid injection.

作者信息

Chodoroff G, Honet J C

出版信息

Arch Phys Med Rehabil. 1985 Sep;66(9):637-9.

PMID:4038032
Abstract

Cheiralgia paresthetica, a mononeuropathy of the superficial branch of the radial nerve, is an uncommon problem, usually resulting from local trauma to the wrist. This report describes a 27-year-old patient who developed subdermal atrophy following local hydrocortisone injection as a treatment for deQuervain's tenosynovitis. Subsequently, she developed linear skin atrophy, a rare complication of steroid injection thought to result from lymphatic spread of the steroid suspension, extending proximally from the initial atrophic area in her hand into her forearm. Soon after wearing a wristwatch on the affected wrist, she developed symptoms of cheiralgia paresthetica. Linear atrophy was found to traverse the superficial radial nerve and was considered to contribute to the symptoms. It is important to be aware that subcutaneous atrophy may follow the lymphatics with injections of steroid.

摘要

感觉异常性手痛症是桡神经浅支的一种单神经病,是一种罕见的病症,通常由手腕局部创伤引起。本报告描述了一名27岁的患者,该患者在接受局部氢化可的松注射治疗桡骨茎突狭窄性腱鞘炎后出现了皮下萎缩。随后,她出现了线状皮肤萎缩,这是一种罕见的类固醇注射并发症,被认为是由类固醇混悬液的淋巴扩散导致的,从她手部最初的萎缩区域向近端延伸至前臂。在患侧手腕佩戴手表后不久,她出现了感觉异常性手痛症的症状。发现线状萎缩横穿桡神经浅支,并被认为是导致症状的原因。重要的是要意识到,注射类固醇可能会使皮下萎缩沿淋巴管发展。

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Cheiralgia paresthetica and linear atrophy as a complication of local steroid injection.感觉异常性手痛和线性萎缩作为局部类固醇注射的并发症
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2
Entrapment of the superficial branch of the radial nerve (Wartenberg's syndrome). A report of 52 cases.
Int Orthop. 1993 Dec;17(6):342-5. doi: 10.1007/BF00180450.