Ultrasound-guided hydrodissection decreases gliding resistance of the median nerve within the carpal tunnel.
Ultrasound-guided hydrodissection decreases gliding resistance of the median nerve within the carpal tunnel.
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DOI：
10.1002/mus.25723
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发表时间：
2018-01
期刊：
影响因子：
3.4
通讯作者：
Amadio PC
中科院分区：
文献类型：
--
作者：
Evers S;Thoreson AR;Smith J;Zhao C;Geske JR;Amadio PC
本研究的目的是评估尸体模型中超声引导水分离引起的腕管内正中神经生物力学的变化。使用十二只新鲜冷冻的人类尸体手。通过向近端拉动神经然后将其返回原点，在基线和水分离后测量中位神经滑动阻力。六个标本经过水分离处理，其中 6 个用作对照。在水分离组中，基线和水分离后立即之间的平均峰值滑动阻力显着降低 92.9 ± 34.8 mN (21.4% ± 10.5%, p= .001)。对照组中基线和第二个周期之间没有出现显着下降：9.6 ± 29.8 mN (0.4% ± 5.3%, p= .467)。水分离术可以降低腕管内正中神经的滑动阻力，至少在未受腕管综合症影响的手腕上是如此。水解剖的临床试验似乎是合理的。
The aim of this study was to assess alterations in median nerve biomechanics within the carpal tunnel resulting from ultrasound-guided hydrodissection in a cadaveric model. Twelve fresh frozen human cadaver hands were used. Median nerve gliding resistance was measured at baseline and post-hydrodissection, by pulling the nerve proximally and then returning it to the origin. Six specimens were treated with hydrodissection, and 6 were used as controls. In the hydrodissection group there was a significant reduction in mean peak gliding resistance of 92.9 ± 34.8 mN between baseline and immediately post-hydrodissection (21.4% ± 10.5%, p= .001). No significant reduction between baseline and the second cycle occurred in the control group: 9.6 ± 29.8 mN (0.4% ± 5.3%, p= .467). Hydrodissection can decrease the gliding resistance of the median nerve within the carpal tunnel, at least in wrists unaffected by carpal tunnel syndrome. A clinical trial of hydrodissection seems justified.
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影响因子：
2.5
作者：
Ge, Hong-You;Serrao, Mariano;Arendt-Nielsen, Lars
通讯作者：
Arendt-Nielsen, Lars
影响因子：
4
作者：
Wang, Chao;Ge, Hong-You;Arendt-Nielsen, Lars
通讯作者：
Arendt-Nielsen, Lars
影响因子：
2.9
作者：
Li, Lian-Tao;Ge, Hong-You;Arendt-Nielsen, Lars
通讯作者：
Arendt-Nielsen, Lars
影响因子：
3.4
作者：
LEIS, AA;KOFLER, M;ROSS, MA
通讯作者：
ROSS, MA
DOI：
10.1016/j.pmr.2014.01.011
发表时间：
2014-05-01
影响因子：
1.7
作者：
Gerwin, Robert D.
通讯作者：
Gerwin, Robert D.