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Radial styloid process stenosing tenosynovitis is a chronic wrist injury diseases. Disposable thumb is hallucis longus muscle and the extensor hallucis brevis tendon to the radial styloid process, the Ministry of stenosing tenosynovitis.
1. Pathogenesis
In the concave radial styloid process, the ligament has a strong attachment to form a sheath. Which hallucis longus and extensor hallucis brevis tendon muscle through. Thumb occupies an important position in the hands of the function. The sharp increase in labor hand and wrist tendon and the sheath can damage and pain.
2. Clinical manifestations
Wrist pain is the main radial, hand and forearm to the radiation. Inability thumb activities. Pot pain down significantly. Snapping and can be closed.
This shows a small part of the uplift, and will touch on the small induration, tenderness. Finkelstein : thumb grip in the palm pilot and then a fist and gently wrist ulnar deviation. there was pain for radial styloid process.
3. Treatment
Should reduce the thumb and wrist pain, physiotherapy fomentation or a certain effect.
Prednisolone acetate can be used when symptoms closed sheath will be able to effectively inject drugs.
Pain, when conservative treatment or surgical treatment of multiple relapses.
Surgery under local anesthesia, cut off the oppression of the tendon ligament available to control symptoms.
4. Prevention
Tired disease and injury. Suddenly increased labor hand and wrist strength will trigger the disease. A lot of laundry, knitting is a common predisposing factors. Appropriate quantity of work to the elderly, to avoid a sudden increase in the intensity and quantity of work.
This article was posted on 2007-02-27
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