肩膀的黑暗面:额头上和下神经的压缩
Gokhan Ayik1, Ulas Can Kolac2, Mehmet Kaymakoglu3
1Yuksek Ihtisas Universitesi, Ankara, Turkey.
International orthopaedics
|March 14, 2025
概括
在运动员中,上和下神经被困会导致疼痛和虚弱. 诊断需要彻底评估,而治疗涉及保守的方法或基于个体病例的手术.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 神经科学是一个神经科学.
背景情况:
- 在运动员中,越来越多的运动员发现了上和下神经的陷.
- 这些条件,以前的排除诊断,现在与肩膀疼痛和软弱.
- 准确的诊断依赖于临床怀疑,详细的病史和体检.
研究的目的:
- 审查运动员上和下神经陷的诊断和管理.
- 突出临床表现,诊断方式和治疗策略.
- 讨论现场当前的争议.
主要方法:
- 对诊断和管理策略的综合文献综述.
- 对临床表现,体检结果和成像研究的分析.
- 对非手术和手术治疗结果的评估.
主要成果:
- 诊断包括临床评估,电诊断研究和成像的结合.
- 非操作性管理是孤立陷的初始方法.
- 外科手术只适用于耐火病例或具有并存病理的病例.
结论:
- 对神经陷的早期和准确的诊断对于运动员的有效管理至关重要.
- 治疗决策应该是个性化的,考虑到同时存在的损伤.
- 需要进一步的研究,以建立关于最佳手术技术和术后护理的共识.
相关概念视频
Spinal Nerves: Plexus I
684
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...
684
Arteries of the Upper Limbs
344
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...
344
Muscles that Move the Arm
1.5K
Nine muscles are involved in arm movements. Two of these, the pectoralis major and latissimus dorsi, originate from the axial skeleton and are called axial muscles. The other seven originate from the scapula and are called the scapular muscles.
The pectoralis major has two origins. Its clavicular head originates on the medial half of the clavicle. In contrast, the sternocostal head originates on the costal cartilages of ribs 1-6, the sternum, and the aponeurosis of the external oblique of the...
The pectoralis major has two origins. Its clavicular head originates on the medial half of the clavicle. In contrast, the sternocostal head originates on the costal cartilages of ribs 1-6, the sternum, and the aponeurosis of the external oblique of the...
1.5K
Muscles of the Shoulder
3.5K
The muscles surrounding the shoulder girdle, including the clavicle and scapula, primarily stabilize the scapula. This stable base allows other muscles to move the humerus effectively. Scapular movements often mirror those of the humerus and extend its range of motion. For instance, raising the arm above the head would not be feasible without simultaneous upward rotation of the scapula.
Anterior Thoracic Muscles
The anterior thoracic muscles include the serratus anterior, subclavius, and...
Anterior Thoracic Muscles
The anterior thoracic muscles include the serratus anterior, subclavius, and...
3.5K
Assessing Body Temperature - Axilla
567
Procedural Guide for Assessing Axillary Body Temperature using a Digital Thermometer:
Step 1: Perform hand hygiene and put on clean gloves to maintain infection control and prevent cross-contamination.
Step 2: Prepare the patient by explaining the procedure to ensure understanding and cooperation. Ensure privacy, expose the axilla, and inform the patient that minimal movement is crucial for an accurate reading.
Step 3: Adjust the patient’s clothing to expose only the axilla. It minimizes...
Step 1: Perform hand hygiene and put on clean gloves to maintain infection control and prevent cross-contamination.
Step 2: Prepare the patient by explaining the procedure to ensure understanding and cooperation. Ensure privacy, expose the axilla, and inform the patient that minimal movement is crucial for an accurate reading.
Step 3: Adjust the patient’s clothing to expose only the axilla. It minimizes...
567
Spinal Nerves: Anatomy
1.7K
Spinal nerves are pivotal conduits in the nervous system, bridging the central nervous system (CNS) with the peripheral nervous system (PNS). These nerves enable a complex communication network between the brain, spinal cord, and the rest of the body, facilitating sensory input, motor output, and autonomic functions.
There are 31 bilateral pairs of spinal nerves, each emerging from the spinal cord through the intervertebral foramina—openings between adjacent vertebrae. These nerves are...
There are 31 bilateral pairs of spinal nerves, each emerging from the spinal cord through the intervertebral foramina—openings between adjacent vertebrae. These nerves are...
1.7K


