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[梅恩的胸脊关节综合征]

Atzmon Tsur¹, Avi Ohry^2,3

¹Meuhedet Mutual Service, Northern Region.

|December 18, 2024

概括

梅恩综合征,或胸腔关综合征 (TLJS),导致腹腔脊顶的疼痛,是腰部疼痛的可治疗的原因. 患者通常对手术治疗,炼和药物治疗反应良好.

科学领域:

脊柱生物力学脊柱生物力学
疼痛管理疼痛管理
神经学神经学

背景情况:

胸腔关综合征 (TLJS),也称为Maigne综合征,呈现为在T12-L1脊椎结处的上脊顶疼痛和疼痛.
这种经常被忽视的疾病是腰部疼痛的可治疗原因,尽管疼痛可能会出现在腹部下部,骨盆区域或部,因为神经受损.
胸脊关节 (T9-L2) 易受损伤和神经冲击,这是由于胸脊和腰脊之间脊柱运动的过渡造成的.

研究的目的:

阐明胸腔关综合征 (梅恩综合征) 的特征和临床表现.
突出与TLJS相关的诊断挑战和潜在的转移疼痛模式.
审查Maigne综合征的各种治疗方法的疗效.

主要方法:

临床观察和触摸,以检测胸腔关节的疼痛.
评估腹部下部,骨盆和部区域的指导性疼痛模式.
对手动治疗,治疗练习和药物干预措施的患者反应的审查.

主要成果:

梅涅综合征的特点是特定的疼痛转诊模式,经常被误诊为其他疾病.
T12-L1面关节和周围的神经经常受到影响,但病变可能发生在T9和L2.2之间.
患者通常对保守治疗有积极反应.

结论:

胸腔关综合征是腰部疼痛和相关的指导性疼痛综合征的重要差异诊断.
手动治疗,有针对性的炼和神经阻塞在治疗梅涅综合征方面是有效的.
了解胸腔关的生物力学对于准确的诊断和有效的治疗至关重要.

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