肘部和前臂的肌腱炎和肌腱病。

Instructional course lectures Pub Date : 2025-01-01
Gautam Malhotra, Michael Patrick Foy
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引用次数: 0

摘要

外侧上髁炎、德奎尔文腱鞘炎和扳机指是上肢最常见的肌腱病变。外上髁炎是一种常见的疾病,对患者来说非常令人沮丧。许多病人在没有任何紧急干预的情况下会好转。物理治疗已被证明是有帮助的初始治疗,手术可以帮助持续的症状。de Quervain腱鞘炎同样对非手术方式反应良好,包括支架治疗和注射,手术对顽固性病例有效。最后,扳机指是一种常见的疾病,可能是由于A1滑轮增厚和疤痕造成的,这对患者来说很麻烦。该地区的典型治疗包括皮质类固醇注射或手术作为最终管理。这些情况的治疗是直接按照本文所述的方法,可以由任何普通骨科医生管理。
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Tendinitis and Tendinopathies About the Elbow and Forearm.

Lateral epicondylitis, de Quervain tenosynovitis, and trigger finger are among the most common tendinopathies of the upper extremity. Lateral epicondylitis is a common condition that can be very frustrating to patients. Many patients will improve without any acute interventions. Physical therapy has been shown to be helpful as initial treatment, and surgery can be helpful for persistent symptoms. de Quervain tenosynovitis similarly responds well to nonsurgical modalities, including brace treatment and injections, and surgery can be effective for recalcitrant cases. Finally, trigger finger is a common condition that can result from thickening and scarring of the A1 pulley, which can be bothersome to patients. Typical treatment in this area involves corticosteroid injections or surgery as definitive management. The treatments for these conditions are straightforward following the approach described herein and could be managed by any general orthopaedic surgeon.

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