Treatment If mild symptoms have been present and there is no thenar muscle atrophy, the injection of hydrocortisone into the carpal tunnel may afford relief. Great care should be taken not to inject directly into the nerve. Injection also can be used as a diagnostic tool in patients without bony or tumorous blocking of the canal: 桡侧腕屈肌腱 掌长肌腱
Treatment ◼ If mild symptoms have been present and there is no thenar muscle atrophy, the injection of hydrocortisone into the carpal tunnel may afford relief. Great care should be taken not to inject directly into the nerve. Injection also can be used as a diagnostic tool in patients without bony or tumorous blocking of the canal;
65%o of these cases probably are caused by a nonspecific synovial edema, and these seem to respond more favorably to injection Injection also helps to eliminate the possibility of other syndromes, especially cervical disc or thoracic outlet syndrome. Some patients prefer to receive injections two or three times before a surgical procedure is carried out. If the response is positive and there is no muscle atrophy, conservative treatment with planting and injection is reasonable
65% of these cases probably are caused by a nonspecific synovial edema, and these seem to respond more favorably to injection. Injection also helps to eliminate the possibility of other syndromes, especially cervical disc or thoracic outlet syndrome. Some patients prefer to receive injections two or three times before a surgical procedure is carried out. If the response is positive and there is no muscle atrophy, conservative treatment with splinting and injection is reasonable
Treatment If Signs and symptoms are persistent and progressive, especially if they include thenar atrophy division of the deep transverse carpal ligament is indicated. The results of surgery are good in most instances, and benefits seem to last in most patients
Treatment ◼ If signs and symptoms are persistent and progressive, especially if they include thenar atrophy, division of the deep transverse carpal ligament is indicated. The results of surgery are good in most instances, and benefits seem to last in most patients
Although thenar atrophy may disappear, it resolves slowly, if at all. As noted earlier, when symptoms of median nerve compression develop during treatment of an acute Colles fracture. the constricting bandages and cast Should be loosened and the wrist should be extended to neutral position. When median nerve palsy develops after a colles fracture and has gone unrecognized for several weeks surgery is indicated without further delay
◼ Although thenar atrophy may disappear, it resolves slowly, if at all. As noted earlier, when symptoms of median nerve compression develop during treatment of an acute Colles fracture, the constricting bandages and cast should be loosened and the wrist should be extended to neutral position. When median nerve palsy develops after a Colles fracture and has gone unrecognized for several weeks, surgery is indicated without further delay
Lateral epicondylitis 肱骨外上髁炎 Lateral epicondylitis (tennis elbow),a familiar term used to described a myriad of symptoms about the lateral aspect of the elbow, occurs more frequently in nonathletes than athletes, with a peak incidence in the early fifth decade and a nearly equal gender incidence Activities that require repetitive supination and pronation of the forear with the elbow in near full extension
Lateral epicondylitis 肱骨外上髁炎 ◼ Lateral epicondylitis (tennis elbow), a familiar term used to described a myriad of symptoms about the lateral aspect of the elbow, occurs more frequently in nonathletes than athletes, with a peak incidence in the early fifth decade and a nearly equal gender incidence. ◼ Activities that require repetitive supination and pronation of the forearm with the elbow in near full extension