Abstract:
METHODS: A 47-year-old orthopaedic surgeon presented with acute volar left wrist pain. He performed over 250 robot-assisted knee arthroplasties each year. Color Doppler evaluation revealed bilateral persistent median arteries and bifid median nerves, with focal occlusive thrombosis of the left median artery. He was advised rest and oral aspirin. He could return to his professional activities after 1 month. He had no recurrence of symptoms at 1 year of follow-up.
CONCLUSIONS: Orthopaedic surgeons use vibrating hand tools on a daily basis. The possibility of hand-arm vibration syndrome must be considered in the differential diagnosis of wrist pain among orthopaedic surgeons.
摘要:
方法:一位47岁的整形外科医生出现急性掌侧左手腕疼痛。他每年进行250多次机器人辅助膝关节置换术。彩色多普勒评估显示双侧持续正中动脉和双裂正中神经,左正中动脉局灶性闭塞性血栓形成。建议他休息和口服阿司匹林。他可以在1个月后恢复他的职业活动。随访1年,患者症状无复发。
结论:骨科医生每天使用振动手工具。在骨科医师腕部疼痛的鉴别诊断中,必须考虑手臂振动综合征的可能性。