神经性胸部出口综合征:手部和外围神经外科医生的初级课程
Peter J Apel1, Nicholas J Peterman1, Evan P Sandefur2
1Department of Orthopaedic Surgery, Musculoskeletal Education and Research Center, Carilion Clinic Institute for Orthopaedics and Neurosciences, Roanoke, VA.
The Journal of hand surgery
|January 14, 2024
概括
神经性胸部外出综合征 (nTOS) 是复杂的,经常被误解. 现代诊断侧重于疼痛纤维,手术是主要治疗方法,尽管可能需要手术.
科学领域:
- 神经学 神经学
- 疼痛医学 医学 疼痛医学
- 手术解剖学手术解剖学
背景情况:
- 神经性胸部出口综合征 (nTOS) 由于历史分类问题,经常被误诊.
- 目前的理解突出显示了小非髓化C型疼痛和同情纤维在nTOS病理生理学的参与.
研究的目的:
- 为了澄清神经性胸部出口综合征的现代理解.
- 概述NTOS的诊断方法和治疗方法.
主要方法:
- 诊断主要依赖于在排除其他疾病后的临床评估.
- 治疗包括保守措施,如手疗法,以及包括注射在内的干预选择.
主要成果:
- 手疗法在管理ntOS方面显示出不同的成功率.
- 注射提供诊断辅助和短期缓解症状.
- 手术干预可以是有效的,但在技术上要求很高,关于最佳方法的争论正在进行中.
结论:
- 准确的诊断和nTOS的有效管理对于患者的治疗结果至关重要.
- 尽管存在诊断和治疗方面的挑战,但成功的治疗显著改善了患者的生活质量.
相关概念视频
Spinal Nerves: Plexus I
931
Nerve plexuses are networks of interlacing nerves that serve as communication hubs to distribute and organize nerve action across various body regions. The nerve plexuses are organized into the cervical plexus located in the neck region, brachial plexus in the shoulder area, lumbar plexus found in the lower back, sacral plexus situated in the pelvis, and coccygeal plexus located in the coccygeal region.
The Cervical Plexus
The cervical plexus, formed by the anterior rami of the first four...
The Cervical Plexus
The cervical plexus, formed by the anterior rami of the first four...
931
Spinal Nerves: Plexus II
615
The plexuses of the lower body include the lumbar, sacral, and coccygeal plexuses, which innervate the abdomen, pelvis, legs, and coccygeal region. These plexuses control the transmission of sensory information and coordinate motor functions of the lower body.
The Lumbar Plexus
The lumbar plexus is situated within the lumbar region of the back and is primarily formed by the first four lumbar spinal nerves (L1 to L4). This plexus extends its branches into several nerves, including the...
The Lumbar Plexus
The lumbar plexus is situated within the lumbar region of the back and is primarily formed by the first four lumbar spinal nerves (L1 to L4). This plexus extends its branches into several nerves, including the...
615
Arteries of the Upper Limbs
582
The subclavian artery transitions into the axillary artery as it exits the chest and enters the axillary region. This artery is critical for supplying blood to the shoulder area, including the head of the humerus, through the humeral circumflex arteries. As the vessel continues into the upper arm or brachium, it becomes the brachial artery. This artery plays a key role in vascularizing the brachial region and bifurcates at the elbow into several branches. These branches include the deep...
582
Disorders of the Autonomic Nervous System
645
The autonomic nervous system (ANS) is an intricate network of nerves that controls functions such as the regulation of heart rate, digestion, and blood pressure regulation. When this system malfunctions, it can lead to various disorders that affect multiple bodily functions. One common feature of many autonomic disorders is the involvement of smooth blood vessels, which play a crucial role in regulating blood flow throughout the body.
Raynaud's disease, also known as Raynaud's...
Raynaud's disease, also known as Raynaud's...
645


