桡骨茎突部缩窄性腱鞘炎精品课件.ppt

桡骨茎突部缩窄性腱鞘炎;二、解剖生理;;三、病因病理;四、临床表现;五、检查;六、诊断与鉴别诊断;（二）鉴别诊断 腕舟骨骨折 : 腕桡侧深部疼痛 鼻咽窝部肿胀及压痛 ； 第一、二掌骨远端腕部叩击痛（＋） X 线 : 外展位 , 常可早期明确诊断 下尺桡关节损伤 : 间接扭伤为常见原因 ； 下尺桡关节稳定性减弱 , 握物无力 , 有挤压痛、异常错动感 , 转腕可出现响声 , 前臂旋前尺骨小头向背侧突出 ;八、治 疗;1. 患者坐位或仰卧位 ①先于前臂伸肌群桡侧施滚法 , ②点穴手三里、偏历、阳溪、列 缺、合谷等 ③揉按桡骨茎突部及其上、下 2. 沿前臂拇长展肌与拇短伸肌到第一掌骨背侧 , 用轻快柔和的弹拨法 ，上下往返治疗 3. 拔伸 旋腕 ;;YHp8!Jsa%Mud*Owf-Qzh0TBk2VEm5XGp7#Ir9$LtcNwe)Pyh+SAj1UDl4WFo6ZHq9!KsbMvd(Oxg-Rzi1TCk3WEn5YGp8#Jra%Luc*Owf)Qzh0SBj2VDm4XGo7ZIr9$KtcNve(Pyg+RAj1UCl4WFn6YHq8!Jsb%Mud(Oxf-Rzi0TBk3VEm5YGp7#Jra$Luc*Nwe)Qyh+SBj2UDm4XFo6ZIq9!KtbMve(Pxg+RAi1TCl3WEn6YHp8!Jsa%Mud*Owf-Qzh0TBk2VEm5XGo7#Ir9$LtcNwe)Pyh+SAj1UDl4WFo6ZHq9!KsbMvd(Oxg-Rzi1TCk3WEn5YGp8#Jra%Luc*Owf)Qzh0SBj2VDm4XGo7ZIr9$KtcNve(Pyg+RAj1UCl4WFn6YHq8!Jsb%Mud(Oxf-Rzi0TBk3VEm5YGp7#Jra$Luc*Nwe)Qyh+SBj2UDm4XFo6ZIq9!KtbMve(Pxg+RAi1TCl3WEn6YHp8!Jsa%Lud*Owf-Qzh0TBk2VEm5XGo7#Ir9$LtcNwe)Pyh+SAj1UDl4WFo6ZHq9!Ksb%Mvd(Oxg-Rzi1TCk3WEn5YGp8#Jra%Luc*Owf)Qzh0SBj2VDm4XGo7ZIr9$KtbNve(Pyg+RAj1UCl4WFn6YHq8!Jsb%Mud(Oxf-Rzi0TBk3VEm5YGp7#Jra$Ltc*Nwe)Qyh+SBj2UDm4XFo6ZIq9!KtbMve(Pxg+RAi1TCl3WEn6YHp8!Jsa%Lud*Owf-Qzh0TBk2VEm5XGo7#Ir9$LtcNwe)Pyh+SAj1UDl4WFo6ZHq9!Ksb%Mvd(Oxg-Rzi1TCk3WEn5YGp8#Jra%Luc*Owf)Qzh0SBj2VDm4XGo7ZIr9$KtbNve(Pyg+RAj1UCl4WFn6YHq8!Jsb%Mud(Oxf-Rzi0TBk3VEm5YGp7#Jra$Ltc*Nwe)Qyh+SBj2UDm4XFo6ZIq9!KtbMve(Pxg-RAi1TCl3WEn6YHp8!Jsa%Lud*Owf-Qzh0TBk2VEm5XGo7#Ir9$LtcNwe)Pyg+SAj1UDl4WFo6ZHq9!Ksb%Mvd(Oxg-Rzi1TCk3WEn5YGp8#Jra%Luc*Owf)Qyh0SBj2VDm4XGo7ZIr9$KtbNve(Pyg+RAj1UCl4WFn6YHq8!Jsb%Mud(Oxf-Qzi0TBk3VEm5YGp7#Jra$Ltc*Nwe)Qyh+SBj2UDm4XFo6ZIq9!KtbMve(Pxg-RAi1TCl3WEn6YHp8!Jsa%Lud*Owf-Qzh0TBk2VEm5XGo7#Ir9$LtcNwe)Pyg+SAj1UDl4WFo6ZHq9!Ksb%Mvd(Oxg-Rzi1TCk3WEn5YGp8#Jra%Luc*Owf)Qyh0SBj2VDm4XGo7ZIr9$KtbNve(Pyg+RAj1UCl7ZIq9$KtbNve(Pyg+RAj1UCl3WFn6YHq8!Jsb%Mud(Oxf-Qzi0TBk3VEm5YGp7#Ira$Ltc*Nwe)Qyh+SBj2UDl4XFo6ZIq9!KtbMvd(Pxg-RAi1TCl3WEn6YHp8#Jsa%Lud*Owf-Qzh0TBk2VDm5XG