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 Posted: Thu 8:33, 24 Mar 2011 Post subject: air jordan high heels Knife treatment of children |
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Knife treatment of children with congenital trigger finger
No.] R726.8; R687 [Document code] A [Article ID] 1819-0774 (2008) 2-049-01d, JL congenital malformation, also known as congenital trigger finger stenosing tenosynovitis, from March 1998 to January 2005 1O, minimally invasive technique of tendon sheath knife cut LOOSE 43 patients achieved satisfactory results, the report is summarized as follows: 1 clinical data 1.1 General information: The group of 43 patients, 18 male and female 25; aged 6 months to 6 years old,[link widoczny dla zalogowanych], an average of 2.3 years. 35 cases of thumb, the sample in 6 cases,[link widoczny dla zalogowanych], the middle finger in 2 cases, including two that complicated in 1 case. 1.2 Diagnostic criteria: ① risk refers to the interphalangeal joints remain in a fixed flexion; ② not active or passive finger straight back straight and soon after flexion; ③ passive straight finger pain, metacarpophalangeal joints palpable thickening of the nodules; ④ finger flexion and extension activities are snapping, sometimes local tenderness ¨】. 1.3 Treatment: children sit or hold by the nurses, aides fixed cantilever, uses local anesthesia. Routine disinfection of hand, in the risk of palmar stripes reach the point of induration or tenderness at the knife point to determine progress, knife and hand skin was 9O. Angle, edge line and the flexor tendon parallel to the piercing, the depth of nodules in the tendon sheath do first cut on the strip, then a longitudinal separation, repeated several times, release sheath and induration, the surgeon can feel the blunt sheath Cutting through sound and shake,[link widoczny dla zalogowanych], exit knife, knife-edge moment oppression, to prevent local bleeding, and excessive palmar flexion Chung-risk refers to the back 3 to 5 times, snapping disappeared, finger flexion with ease, of surgery. Dressing over it, without suture. The average operation time of about 2 minutes, oral anti-inflammatory drugs after 2 to 3 days. 2 Results 2.1 Evaluation of efficacy of standard push: excellent: risk refers to the extended session of self-functioning, no snapping, no pain and tenderness; good: Zhong Qu risk refers to the independent functioning, with mild local tenderness; poor: no improvement of symptoms . 2,2 efficacy evaluation results: The group of 43 patients were followed up for 3 months ~ ※ ※ ※ ※ ※ ※ ※ ※ ※ ※ ※ ※ ※ ※ ※ ※ ※ ※ ※ ※ ※ ※ ※ ※ ※ ※ ※ ※ ※ ※ General Hospital palm 3 years, an average of 13 months. Excellent in 37 cases, good in 6 cases. 3 Discussion d, JL clinical manifestations of congenital trigger finger away section refers to the joint session of the song asked, straight limited local pain during passive extension and snapping. Prevalent in the thumb, index finger and middle finger, while a small number of children means more disease. Etiology may be in the fetal development of the metacarpal bones, thick, over interphalangeal joint flexion, and brake side of the tendon sheath at the entrance to the narrow, long-term oppression of flexor tendon, leading to degeneration of tendon sheath thickening, tendon through the blocked function of finger flexion and extension. Use more local massage clinic, closed or open release surgery and other treatment. And closure of the Ministry of manual massage therapy can only play a temporary relief of pain symptoms, but the phenomenon can not fully release the narrow sheath,[link widoczny dla zalogowanych], if the local repeated massage, closed stimulation, there is increasing degeneration of tendon sheath stenosis, adhesions and the possibility of infection. Although incision release more thoroughly, but because of trauma, an increase of incision site infection after surgery, scar adhesions and other complications. The author believes, d, JL congenital trigger finger, once diagnosed, treatment should be promptly row needle knife, so as not to affect the development and function of the fingers. Lysis is a minimally invasive incision knife, blade narrow, with a needle, cutting, peeling of the function, through the point of pain,[link widoczny dla zalogowanych], induration full cut, narrow tendon sheath adhesions get the full release, so as to achieve therapeutic purposes. ... The method is invasive, simple, low cost, without hospitalization. From the treatment perspective, this group of patients there was no case of blood vessels, nerve injury, infection and other complications, higher security, and no recurrence, are worth promoting.
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