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Đau cổ tay mãn tính vẫn còn là một thách thức để chẩn đoán và điều trị. Một kỹ bệnh sử và khám thực thể là chìa khóa. Kỹ thuật hình ảnh khác nhau là rất cần thiết để đánh giá bệnh nhân với cơn đau cổ tay mãn tính. Tiêu chuẩn chụp X quang, chụp cắt lớp vi tính, cinearthrography | Evaluation of Chronic Wrist Pain Daniel J. Nagle MD Abstract Chronic wrist pain remains a challenge to diagnose and treat. A thorough history and physical examination are key. Various imaging techniques are essential to the evaluation of the patient with chronic wrist pain. Standard radiography computed tomography cinearthrography magnetic resonance imaging radionuclide imaging arthroscopy and arteriography all may have a role in assessment and the orthopaedic surgeon should be familiar with the indications strengths and weaknesses of each. Laboratory tests may also be useful in evaluation. No all-inclusive algorithm can be applied in this setting therefore the physician must rely on his or her diagnostic acumen to successfully assess and treat chronic wrist pain. J Am Acad Orthop Surg 2000 8 45-55 The evaluation of chronic wrist pain can be challenging. The complexity of the carpus combined with our incomplete knowledge of carpal mechanics renders diagnosis of carpal disorders difficult. Therefore the approach to the diagnosis of chronic wrist pain must be systematic. A routine should be established so as to be certain that all aspects of the wrist have been evaluated. This routine should include the classic components of the history and physical examination including observation palpation and manipulation. History A thorough history is essential which should include the past medical and surgical history family history review of systems medications allergies trauma history and reports of any ÒtrickÓ wrist movements. The social history is also important because avocations can have an impact on the wrist. Contact sports such as football and rugby are obvious examples of sports that can cause wrist injuries but golf and tennis because of their repetitive nature should not be overlooked as possible sources of wrist injury. Compressive neuropathies due to excessive knitting or sewing can also masquerade as wrist pain. If a specific traumatic event has initiated the .
