腕管综合征:解剖学视角

Msy Rulan Adnindya, Msy Syarenta Adenina, Tri Suciati, Indri Seta Septadina, Wardiansah Wardiansah
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Terowongan carpal adalah jalur osseo-fibrous yang sempit yang ditemukan di bagian depan pergelangan tangan. berfungsi sebagai pintu masuk ke telapak tangan untuk nervus medianus, tendon dari flexor digitorum superficialis, flexor digitorum profundus dan flexor pollicis longus. Struktur abnormal di dalam dan di sekitar terowongan carpal dapat meningkatkan volume terowongan carpal yang dapat mengakibatkan kompresi nervus medianus. Kompresi nervus medianus dimanifestasikan oleh kelemahan dan hilangnya kekuatan otot-otot thenar, dan hilangnya sensasi kulit dari permukaan palmar dari tiga setengah digit lateral. Oleh karena itu, pengetahuan tentang struktur di dalam dan di sekitar terowongan carpal serta lokasi kompresi berguna dalam menentukan patologi dan pengobatan yang tepat untuk neuropati kompresi. AbstractCarpal Tunnel Syndrome: Anatomical ReviewCompression of the median nerve within the carpal tunnel is called carpal tunnel syndrome and is manifested by weakness and wasting of the thenar muscles. Carpal tunnel syndrome, also known as carpal tunnel syndrome (CTS), is a medical condition that occurs when the median nerve, which crosses the wrist toward the middle fingers and thumb, is pinched or compressed within the carpal tunnel. The carpal tunnel is located at the wrist and consists of bone and connective tissue that make up the floor and roof of the tunnel. The median nerve and tendons of the flexor muscles of the hand cross this tunnel. On average, at least 3.8% of people who complain of pain, unresponsiveness, and itching sensations in their hands suffer from CTS. CTS was found at 276 per 100,000 annual reports. The prevalence of this condition can vary depending on factors such as population, lifestyle, and work habits. 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Therefore, knowledge of the structures in and around the carpal tunnel as well as the location of compression is useful in determining the pathology and appropriate treatment for compression neuropathy.Keywords: CTS, Anatomy, Hand, Carpal Tunnel","PeriodicalId":34033,"journal":{"name":"Jurnal Kedokteran dan Kesehatan","volume":"12 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2023-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"CARPAL TUNNEL SYNDROM: ANATOMICAL PERSPECTIVE\",\"authors\":\"Msy Rulan Adnindya, Msy Syarenta Adenina, Tri Suciati, Indri Seta Septadina, Wardiansah Wardiansah\",\"doi\":\"10.32539/jkk.v10i3.22362\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"ABSTRAKSindrom terowongan carpal, yang dikenal dengan Carpal Tunnel Syndrome (CTS), adalah kondisi medis yang terjadi ketika nervus medianus, yang melintasi pergelangan tangan menuju jari-jari tengah dan ibu jari, terjepit atau tertekan di dalam terowongan carpal. 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引用次数: 0

摘要

腕管综合症,即急性腕管综合症(CTS),是一种常见的疾病。腕管位于手腕上,由骨头和结缔组织组成,形成隧道的地板和屋顶。手导向肌肉的神经和肌腱穿过这条隧道。平均来说,至少3.8%的上呼吸道疼痛、反应迟钝和手上发痒的人患有CTS。CTS每年10万份报告中发现276个。这些条件的流行可能取决于人口、生活方式和工作习惯等因素。腕管是在手腕前面发现的狭窄的骨-纤维通路。它是美甸努斯神经系统的入口,是多面手神经的肌腱,是脚神经的表皮动物,是脚神经的表皮动物,是脚神经的表皮动物,是脚神经的入口。carpal隧道内外的不正常结构可能会增加carpal隧道的体积,从而导致medianus nervus压缩。这种媒体神经压迫表现为德纳尔肌肉的虚弱和力量的丧失,以及帕尔玛表面三位数半的皮肤感觉的丧失。因此,了解腕管内部和周围的结构以及压缩位置有助于确定压缩神经病理的正确病理和治疗方法。血管诊断综合症:腕管中神经的复合体被称为腕管综合症,由神经肌肉的weakness和wawation表现出来。腕管综合症,也被称为Carpal tunnel综合症(CTS),是一种医学上的情况,当中间的紧张,腕管是最重要的,有骨头和接触组织,弄脏地板和屋顶。手穿过这个隧道的肌腱的中间神经和肌腱。在平均水平上,至少有3.8%的人抱怨痛苦、不负责任和不负责任。CTS被发现为每10万份报告276人。这种情况的后果可能取决于这样的人口、生活方式和工作习惯的因素。腕管是一条狭窄的osseoo -fibrous - pathway在扳手的前面发现的。作为进入手掌的中度神经,作为脚神经的神经,作为脚神经的神经,作为脚神经的神经,作为脚神经的神经,作为脚神经的神经,作为脚神经的神经,作为脚神经的神经,作为脚神经的神经,作为脚神经的神经。腕管内外的不正常结构可以增加其体积,这些可以被认为是神经中枢的压缩。中间神经的压缩被神经症和缺失所表现出来的神经症和皮肤的强度和损失目前,了解到腕管前后的结构,正如压缩区域一样,对病理的定义和对压缩神经性的治疗是有用的。安纳托,手,腕管
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CARPAL TUNNEL SYNDROM: ANATOMICAL PERSPECTIVE
ABSTRAKSindrom terowongan carpal, yang dikenal dengan Carpal Tunnel Syndrome (CTS), adalah kondisi medis yang terjadi ketika nervus medianus, yang melintasi pergelangan tangan menuju jari-jari tengah dan ibu jari, terjepit atau tertekan di dalam terowongan carpal. Terowongan carpal terletak di pergelangan tangan dan terdiri dari tulang dan jaringan ikat yang membentuk lantai dan atap terowongan. Nervus medianus dan tendon otot-otot fleksor tangan melintasi terowongan ini. Rata-rata, setidaknya 3,8% dari orang yang mengeluhkan nyeri, ketidakresponsifan, dan sensasi gatal di tangan mereka menderita CTS. CTS dijumpai 276 per 100.000 laporan tahunan. Prevalensi kondisi ini dapat bervariasi tergantung pada faktor-faktor seperti populasi, gaya hidup, dan kebiasaan kerja. Terowongan carpal adalah jalur osseo-fibrous yang sempit yang ditemukan di bagian depan pergelangan tangan. berfungsi sebagai pintu masuk ke telapak tangan untuk nervus medianus, tendon dari flexor digitorum superficialis, flexor digitorum profundus dan flexor pollicis longus. Struktur abnormal di dalam dan di sekitar terowongan carpal dapat meningkatkan volume terowongan carpal yang dapat mengakibatkan kompresi nervus medianus. Kompresi nervus medianus dimanifestasikan oleh kelemahan dan hilangnya kekuatan otot-otot thenar, dan hilangnya sensasi kulit dari permukaan palmar dari tiga setengah digit lateral. Oleh karena itu, pengetahuan tentang struktur di dalam dan di sekitar terowongan carpal serta lokasi kompresi berguna dalam menentukan patologi dan pengobatan yang tepat untuk neuropati kompresi. AbstractCarpal Tunnel Syndrome: Anatomical ReviewCompression of the median nerve within the carpal tunnel is called carpal tunnel syndrome and is manifested by weakness and wasting of the thenar muscles. Carpal tunnel syndrome, also known as carpal tunnel syndrome (CTS), is a medical condition that occurs when the median nerve, which crosses the wrist toward the middle fingers and thumb, is pinched or compressed within the carpal tunnel. The carpal tunnel is located at the wrist and consists of bone and connective tissue that make up the floor and roof of the tunnel. The median nerve and tendons of the flexor muscles of the hand cross this tunnel. On average, at least 3.8% of people who complain of pain, unresponsiveness, and itching sensations in their hands suffer from CTS. CTS was found at 276 per 100,000 annual reports. The prevalence of this condition can vary depending on factors such as population, lifestyle, and work habits. The carpal tunnel is a narrow osseo-fibrous pathway found at the front of the wrist. serves as the entrance to the palm for the median nerve, tendons of the flexor digitorum superficialis, flexor digitorum profundus, and flexor pollicis longus. Abnormal structures in and around the carpal tunnel can increase the volume of the carpal tunnel which can result in compression of the median nerve. Compression of the median nerve is manifested by weakness and loss of strength of the thenar muscles and loss of skin sensation from the palmar surface of the three and a half lateral digits. Therefore, knowledge of the structures in and around the carpal tunnel as well as the location of compression is useful in determining the pathology and appropriate treatment for compression neuropathy.Keywords: CTS, Anatomy, Hand, Carpal Tunnel
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