摘要
目的:了解拇长屈肌腱腱鞘炎患者A1滑车体表投影、深度及轴向长度。方法:收集2021年1月至7月在东莞市松山湖中心医院疼痛科门诊行超声引导下注射或针刀治疗的拇长屈肌腱腱鞘炎患者35例(37指)为患者组。另选取健康志愿者30名,左右手共计60个拇指作为志愿者组。行患指或志愿者拇指高频超声检查,测量A1滑车与皮肤表面的垂直距离及轴向长度。标记A1滑车的体表投影,测量其与掌指横纹肌之间的距离。结果:患者组和志愿者组拇指A1滑车的体表投影分别位于掌指横纹远端(3.0±0.3)mm及(2.9±0.3)mm处,深度分别为(4.0±0.3)mm及(3.9±0.4)mm,轴向长度分别为(5.1±0.4)mm及(5.0±0.5)mm,两组间差异均无统计学意义(P均>0.05)。患者A1滑车体表投影位于掌指横纹远端3.0 mm(2.9~3.1 mm)处,深度为4.0 mm(3.9~4.1 mm),轴向长度为5.1 mm(5.0~5.2 mm)。结论:拇指屈肌腱腱鞘炎患者A1滑车体表投影位于掌指横纹远端3.0 mm(2.9~3.1 mm)处,深度为4.0 mm(3.9~4.1 mm),轴向长度为5.1 mm(5.0~5.2 mm)。
Objective To measure the position of body surface projection,depth and axial length of the A1 pulley in patients with tenosynovitis of flexor pollicis longus tendon.Methods A total of 35 patients with tenosynovitis of flexor pollicis longus tendon(37 fingers)were enrolled in the patients group in the Pain Department of Dongguan Songshan Lake Central Hospital from January to July 2021.Another 60 normal thumbs in 30 volunteers were enrolled as the control group.The position of body surface projection,depth and axial length of the A1 pulley were measured by high frequency ultrasonography.Results The body surface projection of thumb A1 pulley in the patients group and the control group is located at the distal end of the metacarpal finger stripes(3.0±0.3)mm and(2.9±0.3)mm,respectively.The depth of thumb A1 pulley in the patients group and the control group was(4.0±0.3)mm and(3.9±0.4)mm,and the axial length was(5.1±0.4)mm and(5.0±0.5)mm respectively,no significant difference between the two groups(all P>0.05).Body surface projection of thumb A1 pulley located at the distal end of the metacarpal finger stripes 3.0 mm(2.9-3.1 mm),with a depth of 4.0 mm(3.9-4.1 mm)and the axial distance of 5.1 mm(5.0-5.2 mm)in patients group.Conclusion In patients with tenosynovitis of flexor pollicis longus tendon,the body surface projection of thumb A1 pulley located at the distal end of the metacarpal finger stripes 3.0 mm(2.9-3.1 mm),with a depth of 4.0 mm(3.9-4.1 mm)and the axial distance of 5.1 mm(5.0-5.2 mm).
作者
张雪丰
汪彬彬
李静怡
袁晖
李乐锶
Zhang Xuefeng;Wang Binbin;Li Jingyi;Yuan Hui;Li Lesi(Department of Pain Medicine,Dongguan Songshan Lake Central Hospital,Dongguan City,Guangdong Province 523326,China)
出处
《中华疼痛学杂志》
2023年第2期317-321,共5页
Chinese Journal Of Painology
关键词
扳机指症
超声检查
解剖学
Trigger finger disorder
Ultrasonography
Anatomy
