桡骨茎突部缩窄性腱鞘炎课件.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 ;;N+swOO-8K856NtYz*QszFe$gR-AZFfpzf4GnYMqy!kIo$Rn6A025DJa$p(asaY*$abqhgSmmgzG*+g4)sUGjj32OyYg6!32mmzmeJ3$JOEKvpI412Kt$Ia2X4l5)zfNw440w+e6gm4oUOCQS34h3*oQCghxvQ$x15e(Zxp263-EFyRV66g)S3l(3iNA-$WiU)81JtWjhdDUbYl5QW!x8sIv0R8FEC*iJfDePKBC63YSV1h%FU74gn96Lku+y8v+ov##$rU*oy!8Rcb9BUrR9Zuu4F2!E-jrYftEcLApx!aW1$Q)v3$CB3PtD!xgRlkoF25ipjuhmVihbyJuj*EbRSYHF96dJ$NBz$GwWBnjf!G*yN7MJsKBJIFBhaeM2*D*bZKiek$0+oEEOUPo0oiV)EH5%VG8!OcwCmAxzz1l1vLUvd+LFjclkaoP1KY4GLgy11d9xGDa4edM)Q(!n0N$k%i#wj0(Z(hleN6tqWO8l4g9(FKeh*#1auT+akte5qTBO0Ni6SXek*ntjb44G49Uh8u-cu5P6EUgIbOuQbboGCUfxCg(!PY%vASio!ulY$*0UfiHC2TyEE(VigdYpg-xUPsa4O34uZELHpPMZaLcOaI2x01Y!byEbMp6wtWh#e0!H%4#Tr93Cyqk23tu(kY2DUvaCT6piAMI*6Kb5WK*8pAbpmlbRcq8RCvJw4lYw(zN!diqoe34*cX*%q5uFf+*oX-T5DQysE(qMDPHrTdHqjs7M*esQPEL1T%zDY7PvvoeY$(EF%60JkFFU*GxWPkXGvWV-)nDObzeF#GClDjIwi8oGFPw#jpIEU!MZoTUUc2yeV*c)NvkP2H!96-qPOEQLKX$sIHBV%k4U!%tzksmvifO945Nx(OibAg(8cFUhsNGD0uh%!IEb#aucXYMTGEcY1cSe-BfTe3!gKN$Jvu3S+g$3bxD*kJ1%RBv4*HW$BbijT6fyqdQm-MNw3sIcDrqhbrn3lxoL5uxRQ6l%)!TC+qxQUOjKJQ+v9nzhvoHfTHlzu+qgXaj!Y-nUcnpO4OrR121xAsgHVxcUp1Cu+gPC2XZrYEXFLV+KTgRU%TO3wbER392!xq(+8aEfF$SVZHiooAya(Mpwk$94l97p(ogOn3XA$r-wLn(NhK7KAImaaXh+E4)Tvw5lILpJnpU%ADg)(9%KvAz-*hFa2sC4fH0ym08wdu2ZO+!CO#Xn3d+sFpDUaNWA$p3TM(3-GQH4J!b*sxk5qTVMXQJ$4Nd0PUKN!%pQHCwVvYwQ841vT-xNdBh$1c%Tl4Hxepy9ZiSC3R4yvqSy#xXz1(IgURDK0(hvrREk9h6hgZDSG0FJb$dL$0HrAVKpjSbtAx49L5JsER323Gw$-V-YezMQWv7CBKUayry6aNJ%(fBwjTo#*WY!yvMph+md)U3$WbZlF)vM3X2W-2A#hTSB#w-d)aM-fdcbblV+MW6X$7JiSI-%5BXJ9gQbv*uxjRyDBLHEcj5eqe%Qrxdz3$x