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相關文獻
- 狄魁文氏狹窄性腱鞘炎
- de Quervain氏病
- 扳機指[Trigger Finger]
- 論狹窄性腱鞘炎(媽媽手)的治療
- 媽媽手
- Percutaneous A1 Pulley Release for Trigger Digits
- 護理業職業性肌肉骨骼疾患--奎緬氏症病例報告及文獻回顧
- 扳機指
- Hypertrophic Peroneal Tubercle with Stenosing Tenosynovitis: The Results of Surgical Treatment
- Idiopathic Constrictive Pericarditis Mimicking a Right Ventricular Tumor--A Case Report
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題名 | 狄魁文氏狹窄性腱鞘炎 |
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作者姓名(中文) | 鄭麗淑; | 書刊名 | 中華民國物理治療學會雜誌 |
卷期 | 13 1988.09[民77.09] |
頁次 | 頁21-26 |
分類號 | 416.64 |
關鍵詞 | 狄魁文氏; 狹窄性; 腱鞘炎; |
語文 | 中文(Chinese) |
中文摘要 | 手、腕部是全身走容易發生腱鞘炎之處,其中又以狄魁文氏狹窄性腱鞘 炎最常見。此病乃是在橈骨莖突處,包圍在伸拇短肌和外展拇長肌肌腱外的滑膜 發炎所致。臨床徵狀常見橈骨莖突處有微腫、觸痛;尤其是在作阻抗性拇指伸直、 外展時,或作芬克司汀測試時會更痛。中年婦女為最常見的受害者。病因至今未 明,但咸信以累積的微細傷害最為可能。其治療方式雖以手術將腱鞘切開的效果 最為徹底,但考慮其諸多併發症的可能性,所以包括物理治療的保守性療法應為 優先的選擇。 |
英文摘要 | Tenosynovitis often happens around hand andwrist, and de Quervain's disease is due toinflammation of the synovial sheath surroundingextensor pollicis brevis and abductor pollicislongus at the radial stuloid process level. Clinical manifestations Include slight swellingand tenderness at radial styloid process, positiveFinkelstein test and painful active movement of thumb extension and abduction. Affected patientsare mostly middle-aged females. The etiology Isstill obscure, but repeated minor-trauma isbelieved to be the main predisposing factor.Operation offers good result but with possiblecomplications. Conservative treatment, includingphysical therapy, should always be consideredbefore surgical intervention. |
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