特发性腕管综合征与de Quervain氏腱鞘炎:是否有关联?

IF 1.3 4区 医学 Q4 NEUROSCIENCES
Somatosensory and Motor Research Pub Date : 2021-12-01 Epub Date: 2021-10-10 DOI:10.1080/08990220.2021.1986378
Sibel Mandiroglu, Ebru Alemdaroglu
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引用次数: 2

摘要

目的:在本研究中,我们旨在调查特发性腕管综合征(ICTS)患者发生de Quervain's腱鞘炎(DQT)的频率。材料和方法:我们评估了310例应用ICTS预诊断的356只手。桡骨茎突疼痛、运动疼痛、第一背伸肌室压痛和Finkelstein试验阳性的患者均接受临床DQT。超声检查证实有DQT。对每只手正中神经和尺神经的运动和感觉传导进行了研究,并进行了ICTS的预诊断。结果:我们测定了302只手(85%)的ICTS。De Quarvain的腱鞘炎比率在使用ICTS的人手中为9.9% (n:302)。同手ICTS和DQT患者,男女比例为1/3。合并ICTS和DQT患者29例(女22例,男7例)。在30个同时拥有ict和DQT的国家中;18例为轻度,9例为中度,3例为重度。结论:本研究首次将DQT与ICTS联合评价。我们发现,ICTS患者的DQT患病率高于正常人群。我们认为在临床评估中考虑ICTS预诊患者的DQT对这些患者的临床随访和治疗有积极的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Idiopathic carpal tunnel syndrome and de Quervain's tenosynovitis: is there an association?

Aim: In this study, we aimed to investigate frequency of de Quervain's tenosynovitis (DQT) in patient with idiopathic carpal tunnel syndrome (ICTS).

Material and methods: We evaluated 356 hands of 310 patients who applied with the pre-diagnosis of ICTS. Patients who have pain over the radial styloid, pain on movement, tenderness over the first dorsal extensor compartment and also positive Finkelstein's test were accepted clinically DQT. Presence of DQT was confirmed by ultrasonography. Motor and sensory conductions of median and ulnar nerves were studied in every hand with the pre-diagnosis of ICTS.

Results: We determined ICTS in 302 (85%) hands. De Quarvain's tenosynovitis ratio was found to be 9.9% in hands with ICTS (n:302). In patients with ICTS and DQT in the same hand, the male-to-female ratio is 1/3. There were 29 cases (22 female, 7 male) with ICTS and DQT. Of the 30 hands with ICTS and DQT together; 18 had mild, nine had moderate, and 3 had severe ICTS.

Conclusion: This is the first study that evaluates the DQT and ICTS together. We found that patients with ICTS have a prevalence higher than normal population to have DQT. We suppose that considering DQT in patients with the pre-diagnosis of ICTS during clinical evaluation has a positive impact on clinical follow-up and treatment of these patients.

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来源期刊
Somatosensory and Motor Research
Somatosensory and Motor Research 医学-神经科学
自引率
0.00%
发文量
4
审稿时长
>12 weeks
期刊介绍: Somatosensory & Motor Research publishes original, high-quality papers that encompass the entire range of investigations related to the neural bases for somatic sensation, somatic motor function, somatic motor integration, and modeling thereof. Comprising anatomical, physiological, biochemical, pharmacological, behavioural, and psychophysical studies, Somatosensory & Motor Research covers all facets of the peripheral and central processes underlying cutaneous sensation, and includes studies relating to afferent and efferent mechanisms of deep structures (e.g., viscera, muscle). Studies of motor systems at all levels of the neuraxis are covered, but reports restricted to non-neural aspects of muscle generally would belong in other journals.
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