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Posture and Loading in the Pathomechanics of Carpal Tunnel Syndrome: A Review

机译:腕管综合征的病理力学姿势和装载:综述

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摘要

Carpal tunnel syndrome is a neuropathy of the median nerve at the wrist, and represents the most common peripheral neuropathy. It has long been an issue in the workplace because of healthcare costs and loss of productivity. The two main pathomechanisms of carpal tunnel syndrome include increased hydrostatic pressure within the carpal tunnel (carpal tunnel pressure) and contact stress (or impingement). As most cases of carpal tunnel syndrome in the workplace are labelled "idiopathic," a clear understanding of the physical parameters that may act as pathomechanisms is critical for its prevention. The aim of this review is to examine and quantify the influence of posture and loading factors on the increase of carpal tunnel pressure and median nerve contact stress. Forearm, wrist, and finger postures, as well as fingertip force have significant effects on carpal tunnel pressure. Contact stress on the median nerve is mainly a product of wrist posture and musculotendinous loading. Anatomical and musculoskeletal sources have been proposed to explain these effects. This critical review provides an improved understanding of pathomechanisms and etiology underlying carpal tunnel syndrome
机译:腕管综合征是手腕中位神经的神经病变,代表了最常见的周围神经病变。由于医疗保健成本和生产力损失,这是工作场所的问题。腕管综合征的两种主要土气机制包括腕管(腕管压力)内的静压压力增加,接触应力(或冲击)。由于大多数工作场所的腕管综合征的大多数病例被标记为“特发性”,清楚地了解可能采取行动的物理参数,因为土地机制对于预防至关重要。本综述的目的是检查和量化姿势和装载因子对腕管压力和中位神经接触应力的影响的影响。前臂,手腕和手指姿势,以及指尖力对腕管压力有显着影响。中位神经的接触压力主要是腕部姿势和肌肉抑制的产物。已经提出解剖学和肌肉骨骼来源来解释这些效果。这项批判性综述提供了对腕管综合征的土地机制和病因的改进了解

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