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Sindrom zapestnega prehodaJesenšek Papež, BredaSindrom zapestnega prehoda (SZP) je najpogostejša utesnitvena nevropatija na zgornjem udu in pogost vzrok za bolečine, parestezije in zmanjšano funkcijo roke. Po definiciji je klinični sindrom, ki se ... izrazi s simptomi in znaki. Simptomatika je odvisna od trajanja in stopnje utesnitve medianega živca (MŽ).Najprej so prizadeta senzorična, če pa utesnitev traja dalj časa, zajame tudi motorična vlakna MŽ. Pozitiven Tinelov in Phalenov znak, od simptomov pa bolečine, drevenje in mravljinčenje v prvih treh prstih, predstavlajo značilnoklinično sliko razvijajočega se SZP. Za potrditev diagnoze in operativno zdravljenje samo klinični simptomi in znaki ne zadostujejo, potrebujemo elektrodiagnostiko (ED). Konzervativno zdravljenje vključuje uporabo individualno izdelanih nočnih ortoz, lokalnih injekcij kortikosteroidov in fizikalno terapijo. Kadar simptomi vztrajajo, ali ko z ED potrdimo (težjo) stopnjo utesnitve, je potrebno operativno zdravljenje s sprostitvijo MŽ v zapestnem prehodu. SZP, povzročen z delovnimi obremenitvami,je zelo pogost in ima razsežne pravne in gospodarske posledice.Source: Zbornik kongresa (Str. 65-66)Type of material - conference contribution ; adult, seriousPublish date - 2009Language - slovenianCOBISS.SI-ID - 3259455
Author
Jesenšek Papež, Breda
Topics
Carpal Tunnel Syndrome |
diagnosis |
therapy |
Sindrom zapestnega prehoda |
Diagnostika |
Zdravljenje |
Carpal Tunnel Syndrome |
epidemiology |
Sindrom zapestnega prehoda |
Epidemiologija |
Carpal Tunnel Syndrome |
rehabilitation |
Sindrom zapestnegga prehoda |
Rehabilitacija
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Jesenšek Papež, Breda | 23189 |
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