腰部面部关节疾病:什么,为什么,什么时候?
Wout Van Oosterwyck1, Pieter Vander Cruyssen1, Frédéric Castille1
1Department of Anaesthesia, Intensive Care and Pain Medicine, General Hospital Maria Middelares, 9000 Ghent, Belgium.
Life (Basel, Switzerland)
|November 27, 2024
概括
面部关节疼痛 (FJP) 是腰部疼痛 (LBP) 的常见原因之一. 当保守方法失败时,中间分支阻断和射频剥离 (RFA) 是对FJP的有效治疗方法.
科学领域:
- 疼痛医学 医学 疼痛医学
- 干预性疼痛管理 干预性疼痛管理
- 脊椎解剖学 脊椎解剖学
背景情况:
- 腰部疼痛 (LBP) 非常普遍,影响超过60%的个人.
- 面部关节疼痛 (FJP) 占LBP病例的27-40%,往往被误诊.
- 由于临床,放射学和症状发现之间的相关性差,存在诊断挑战.
研究的目的:
- 审查关于面关节疼痛 (FJP) 的当前文献.
- 讨论中间分支块 (MBB) 和关节内 (IA) 注射的诊断和治疗作用.
- 评估射频剥离 (RFA) 和FJP的新兴疗法.
主要方法:
- 叙事文学评论. 叙事文学评论. 叙事文学评论. 叙事文学评论.
- 对MBB和IA注射的诊断实用性的分析.
- 评估射频剥离 (RFA) 和替代性剥离技术.
主要成果:
- 射频剥离 (RFA) 是FJP管理的既定黄金标准.
- MBB和IA注射是RFA的关键诊断和治疗前体.
- 新兴的疗法,如冷却RFA,冷肌化,内肌化和多管刺激,显示出有希望的结果,但需要进一步的研究.
- 手术干预没有得到FJP的当前文献的支持.
结论:
- RFA为精心挑选的FJP患者提供了显著的,持久的缓解,这些患者对保守的护理没有反应.
- 对于管理FJP而言,RFA表现出了有利的安全概况.
- 需要进一步的研究来验证新型变色技术的长期疗效和安全性.
关键词:
慢性下背部疼痛 慢性下背部疼痛面生性 腰部疼痛 背部疼痛腰部侧面关节 腰部侧面关节机械背部疼痛是一种背部疼痛.中间分支区块的中间分支区块.中间分支神经切除术的神经切除术无线电频率的变化是无线电频率的变化.更多相关视频
相关概念视频
Development of the Limb Synovial Joints
1.3K
Joints form during embryonic development in conjunction with the formation and growth of the associated bones. The embryonic tissue that gives rise to all bones, cartilage, and connective tissues of the body is called mesenchyme.
The mesenchymal stem cells differentiate into chondrocytes that form the hyaline cartilage, and later the cartilaginous model of the bone. This model further transforms into a bone. This process is known as endochondral ossification.
During development, the limbs...
The mesenchymal stem cells differentiate into chondrocytes that form the hyaline cartilage, and later the cartilaginous model of the bone. This model further transforms into a bone. This process is known as endochondral ossification.
During development, the limbs...
1.3K
Lumber Defects
103
Lumber defects, which can affect both the appearance and structural integrity of wood, include a variety of growth and manufacturing flaws. Growth defects such as knots and knotholes occur where branches were once attached to the tree trunk, with knotholes forming when these knots fall out. Other natural defects include decay and insect damage, which compromise the wood's strength and durability.
Shakes are minor fractures that run along or across the wood's annual rings, while wane is...
Shakes are minor fractures that run along or across the wood's annual rings, while wane is...
103
Knee Joint
1.5K
The knee joint is the most complicated joint in the body. It consists of three articulations– two tibiofemoral and one patellofemoral. As is characteristic of synovial joints, the knee joint has a thin articular capsule that partially surrounds this joint cavity. Additionally, several ligaments, muscles, and cartilaginous structures support the movement of the knee.
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris...
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris...
1.5K
Structural Joints: Cartilaginous Joints
2.1K
As the name indicates, at a cartilaginous joint, the adjacent bones are united by cartilage, a tough but flexible type of connective tissue. Unlike synovial joints, these types of joints lack a joint cavity and involve bones joined together by either hyaline cartilage or fibrocartilage.
There are two types of cartilaginous joints:
Synchondrosis
A synchondrosis ("joined by cartilage") is a cartilaginous joint where bones are connected by hyaline cartilage. Synchondrosis may be temporary...
There are two types of cartilaginous joints:
Synchondrosis
A synchondrosis ("joined by cartilage") is a cartilaginous joint where bones are connected by hyaline cartilage. Synchondrosis may be temporary...
2.1K


![Quantitative [18F]-Naf-PET-MRI Analysis for the Evaluation of Dynamic Bone Turnover in a Patient with Facetogenic Low Back Pain](/_next/image?url=https%3A%2F%2Fcloudfront.jove.com%2FCDNSource%2Fteasers%2F58491.jpg&w=3840&q=50)