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掌腱膜挛缩症

  • 概述
  • 理论
  • 诊断
  • 治疗
  • 随访
  • 资源
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最后审阅： 30 Sep 2024
最后更新： 14 Jul 2023

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 40 岁以上男性
  • 人工作业困难
  • 手掌结节
  • 手掌皮肤病变
  • 键周索
  • MCP 关节挛缩
  • 近端指间 (PIP) 关节挛缩
  • Hueston 桌面试验阳性
完整详情

其他诊断因素

  • 双侧受累
  • Garrod 结
  • 足部趾面受累
  • 阴茎受累
完整详情

危险因素

  • 男性
  • 年龄＞40 岁
  • 家族史
  • 糖尿病
  • 高酒精摄入量
  • 吸烟
  • 创伤
  • 抗惊厥药
完整详情
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诊断性检查

需考虑的检查

  • 手部超声
完整详情
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治疗流程

持续性治疗

无 MCP 关节或 PIP 关节挛缩

30°及以下的 MCP 关节挛缩且无 PIP 关节挛缩

30°以上的 MCP 关节挛缩和/或 PIP 关节挛缩

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撰稿人

作者

Craig M. Rodner, MD

Assistant Professor

Department of Orthopaedic Surgery

University of Connecticut Health Center/New England Musculoskeletal Institute

Farmington

CT

利益声明

CMR declares that he has no competing interests.

鸣谢

Dr Craig M. Rodner would like to gratefully acknowledge Dr Thomas H. Trojian and Dr Daniel M. Avery, both previous contributors to this topic. THT and DMA declare that they have no competing interests.

同行评议者

Carlos Wigderowitz, MD, PhD, FRCSEd

Senior Clinical Lecturer in Orthopaedic and Trauma Surgery

Department of Orthopaedics and Trauma Surgery

TORT Centre

Ninewells Hospital

Dundee

UK

利益声明

CW declares that he has no competing interests.

Bill Townley, MD

Specialist Registrar

Plastic Surgery

Salisbury District Hospital

Salisbury

UK

利益声明

BT is an author of a reference cited in this topic.

Zhongyu Li, MD

Assistant Professor

Orthopaedics

Wake Forest University Baptist Medical Center

Winston-Salem

NC

利益声明

ZL declares that he has no competing interests.

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