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Electrodiagnostic Testing in Hand Surgery

机译:手外科的电诊断测试

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The treatment of nerve disorders of the upper extremity has become a highly specialized area. There has been an evolution in the electrodiagnostic (EDX) approach for evaluating patients who have these disorders. Differential latency testing can aid in the diagnosis of dynamic nerve entrapment disorders such as radial tunnel syndrome. Comparative latency testing increases the test sensitivity in the diagnosis of carpal tunnel syndrome, cubital tunnel, and ulnar tunnel syndrome. Digital nerve conduction testing can detect isolated digital nerve lesions and can be used to monitor the adequacy of reinnervation following a nerve repair [1]. Nerve conduction studies are not a panacea, however, especially in recurrent carpal tunnel syndrome [2].
机译:上肢神经疾病的治疗已成为高度专业化的领域。用于诊断患有这些疾病的患者的电诊断(EDX)方法已经有了发展。差异潜伏期测试可以帮助诊断动态神经压迫性疾病,例如radial骨隧道综合征。比较潜伏期测试可提高腕管综合症,肘管和尺骨综合症的诊断灵敏度。数字神经传导测试可以发现孤立的数字神经病变,并可以用于监测神经修复后的神经支配是否充分[1]。神经传导研究不是万能药,但是,特别是在复发性腕管综合症中[2]。

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