2012年8月22日星期三

If the mouse hand will leave behind sequelae?


First of all, let us understand what is themouse hand (carpal tunnel syndrome)? Mouse hand is a group of signs andsymptoms of the median nerve that appear in the carpal tunnel entrapment. Thecarpal tunnel is a large bone - ligament tunnel wrist has eight small bonescalled carpal and was slightly curved arrangement of the side of the palm, palm ligaments surrounding the formation of a fibrous sheath like the"tunnel", medically known as carpal tunnel. "Tunnel" nineflexor tendons of a nerve, flexor halluc is longus tendon shallow four finger through the deep flexor tendon and a median nerve. Many causes large

Multi-due to acute and chronic injury caused. Extrinsic compression of the lumen itself smaller cavity contents increased, larger size, etc., are its cause.

1, As for the mouse hand,more common in middle-aged women, as for men, it’s related to the job. In the Bank,the staff who count the money, the cleaner who often use the broom, the network computer operator,the man who repair mechanic under the car, are the group who very easy to get the mouse hand (carpal tunnel syndrome).

2.The patients mainly first felt the side of the thumb, food, middle finger has a numb pain, inability to hold things, especially to the middle finger. Hand the gradual emergence of numbness, burning, heaviest night or early morning symptoms, many patients will be accompanied by a swelling of the wrist and hand movements are not flexible, weakness and other symptoms. Appropriate jitter wrist when symptoms ease, sometimes the pain involved forearm, paresthesia only appear in the median nerve in the wrist below.

3.Physical examination: thumb, food, middle finger, hypersensitivity or stupidity. Thenar muscle atrophy, weakness of the thumb on the palm, wrist median nerve Tinel sign was positive. Wrist flexion test: elbow, forearm on the move, wrists flexed at 90 degrees, minutes ipsilateral that will induce the median nerve irritation, the positive rate of about 70%. Inflammation or swelling in the carpal tunnel, local uplift, tenderness or palpable mass edge.

If you got the mouse hand (carpal tunnel syndrome), the early symptoms are relatively minor, partial closure of the carpal tunnel and physical therapy can often obtain better effect. At the same time, let the wrist rest. The key to prevention is to always pay attention to the posture of the wrist, try to keep your wrist straight, wrist and do not use excessive force. Computer operator in one hour after continuous work should stand up and take a break, shook and massage the hand and stretch hand refers to, do a fist and relax action, so that the joints of the hand can be relaxed. Weight are required to carry out the transverse carpal ligament incision decompression, neurolysis.

Got the mouse hand (carpal tunnel syndrome) with a timely diagnosis and treatment, generally will not leave behind sequelae.



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