中英文字幕:德奎尔万腱鞘炎( De Quervain's Tenosynovitis)

分类: 腱鞘炎是什么症状 发布时间:2018-11-09 10:42

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De Quervain’s Tenosynovitis

德奎尔万腱鞘炎

Overview(概述)

This condition, also called stenosing tenosynovitis of the first dorsal compartment of the wrist, is an inflammation of the sheath that wraps around the tendons at the thumb side of the wrist.

本病又称腕背第一间室狭窄性腱鞘炎,是包绕在腕关节拇指侧肌腱的腱鞘的炎症。

Causes(原因)

This condition is caused by overuse, particularly from activities that require forceful gripping while flexing and extending the wrist. It is very common in new mothers (the result of grasping and lifting their babies) and from active gardeners who aggressively plant and weed. Occasionally, it is caused by direct trauma to the wrist. It is also more common in patients who have diabetes, rheumatoid arthritis, and other inflammatory conditions.

本病是由于过劳造成的,特别是在屈伸腕关节同时需要强力抓握的动作。这种情况在初为人母(需要怀抱和举起孩子)和辛勤的种花除草的园丁身上很常见。偶尔,本病可由腕关节直接受伤引起。在糖尿病、类风湿性关节炎和其他炎症性疾病患者中较为常见。

Symptoms(症状)

Symptoms can include pain and tenderness on the thumb side of the wrist when the wrist and thumb are moved. In some cases, a catching sensation may also occur. Gripping with the hand may be painful. Often, a firm nodule can be felt at the point of tenderness.

症状包括腕关节和拇指活动时在手腕的拇指侧的疼痛和压痛。在某些病例,也可能会出现卡住的感觉。用手握拳时可能会很痛。通常,在压痛点上可以触及坚硬的结节。

Treatment(治疗)

Treatment options include rest, splinting of the wrist and thumb, and corticosteroid injections. Anti-inflammatory medications and a cold compress can also be used to relieve inflammation. If those treatment options are not successful, surgery may be needed.

治疗方法包括休息、腕关节和拇指夹板固定和局部注射皮质类固醇。消炎药和冷敷也可以用来缓解炎症。如果这些治疗方法无效,可能需要手术。

(胡佰文  译)

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