在长胸神经功能障碍的次要 Serratus 前侧
Pablo Sanchez-Urgelles1, Blanca Diez Sánchez2, Joaquin Sanchez-Sotelo3
1Foundation for Orthopaedic Research and Education, Tampa, FL, USA.
JSES reviews, reports, and techniques
|May 5, 2025
概括
前额 (SA) 麻,通常是由长胸神经 (LTN) 功能障碍引起的,呈现为头骨头翼. 虽然物理治疗是常见的,但对于持续的软弱,可能需要手术选择,如肌移植.
科学领域:
- 整形外科 整形外科 整形外科
- 神经学 神经学
- 运动医学 运动医学
背景情况:
- 前额 (SA) 通常是由长胸神经 (LTN) 功能障碍引起的.
- 这种情况,虽然呈现特征性的身体发现,可以被忽视.
- 了解SA对于准确诊断和有效管理至关重要.
研究的目的:
- 审查导致的原因,诊断方法和治疗策略,为serratus前.
- 提供SA麻管理的全面概述.
主要方法:
- 总结了SA和LTN的解剖细节.
- 审查了SA麻的常见病因.
- 详细的体检结果和诊断测试实用性.
- 讨论了自然史和治疗选择.
主要成果:
- 怀疑SA麻,肩膀伸展软弱和头骨翼.
- 通过肌电图和神经传导研究证实了诊断;MRI可能显示神经性变化.
- 保守治疗 (物理疗法) 在12个月内对许多人有效.
- 手术选择包括神经释放,神经转移和肌转移,用于持续或致残的症状.
结论:
- 导致SA的长胸神经 (LTN) 功能障碍可以通过体检和电诊断研究来诊断.
- 虽然自发恢复是可能的,但持续的软弱可能需要神经分解,神经转移或肌转移.
- 直接将大胸骨的骨头转移到肩是对残疾病例的首选手术方法,这些病例对保守护理无反应.
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