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De Quervains与腕交叉综合症的比较
原作者: Michael Bond, 陈都翻译 肖 发布日期:2014-04-14

De Quervains与腕交叉综合症的比较
Title: De Quervains versus Intersection Syndromes
题目:De Quervains 与 交叉综合症的比较
Author 作者: Michael Bond
De Quervain and Intersection Syndromes:
De Quervain与腕交叉综合症:
De Quervain's Syndrome (Tenosynovitis of the Abductor Pollicus Longus and Extensor Pollicus Brevis tendons) is a common disorder that has received a lot of press lately as BlackBerry Thumb or Gamer's Thumb.
De Quervain综合征(拇长展肌和拇短伸肌肌腱扭伤导致的腱鞘炎)是一种常见的病症,最近大量新闻报道:黑莓手机用户使用拇指过度或电子游戏玩家使用大拇指过度都会导致此类症状。
This condition can be diagnosised by the Finklestein test [Have the patient bend their thumb into the palm of their hand, and then make a fist.  They should then ulnar deviate their wrist.  Pain along the tendons secures the diagnosis.
这种疾病可以通过Finklestein测试得以鉴别——让病人的大拇指弯曲进他们的手掌,然后握拳手腕往尺侧偏离,沿肌腱如果有疼痛即获得诊断。
The pain of De Quervain's syndrome is typically along the distal end of the radius at the base of the thumb.
De Quervain综合征的疼痛通常是沿着桡骨到远端大拇指的根部。
Intersection syndrome is a less common disorder though closely related to De Quervain's Syndrome
虽然与De Quervain综合征密切相关,交叉综合征是一种并不常见的疾病。
The pain is usually felt on the top of the forearm about three inches proximal to the wrist. 
它的疼痛通常位于前臂距腕关节大约三英寸处。
The pain from this condition is due to tenosynovitis of the Extensor carpi radialis longus and Extensor Carpi radialis brevis muscles/tendons caused by the intersection of them with the Extensor pollicus brevis and Abductor pollicus longus tendons. Occurs due to excessive wrist movements.
此种情况下的疼痛是由于腕关节桡侧长伸肌和短伸肌/肌腱与拇长展肌和拇短伸肌肌腱交叉引起的腱鞘炎所致。过度的手腕动作会导致此类症状出现。
Intersection syndrome can be seen in weight lifters, skiers, and can be seen in homeowners in the fall and winter when they rake a lot of leaves or shovel snow.
腕交叉综合症在举重的人,滑雪者身上经常出现,也可能在秋天和冬天的房主们身上看到,因为秋天他们要收集大量树叶,冬天要铲除大量的雪。
Treatment is the similar for both conditions and consists of:
治疗方法是类似的,包括:
NSAIDS
非甾体类抗炎药
Cortisone injections can be effective
可的松注射会非常有效
Thumb and wrist immobilization with a Thumb Spica Splint or Cock Up Wrist Splint。
拇指和手腕需要固定在人字绷带夹板或腕上托夹板上。