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头骨上神经陷:当前的概念和最近的进展

Fiona Ashton¹, Heather Swaile¹, Amol Tambe¹

¹Department of Trauma & Orthopaedics, Royal Derby Hospital, University Hospitals of Derby and Burton NHS Foundation Trust, Derby, UK.

Indian journal of orthopaedics

|June 13, 2025

概括

肩上神经被困,虽然不常见,但会导致肩膀疼痛. 大多数病例通过非手术治疗得到解决,但对于持续或严重的症状,手术是一种选择.

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:

上神经在解剖学上很容易被上神经和上神经圈住.
上神经被困是肩膀疼痛和功能障碍的一个被低估的原因.

研究的目的:

审查肌上神经陷的病因,评估和管理.
讨论当前和新兴的诊断和治疗策略.

主要方法:

关于上神经陷的当前文献的综述.
讨论包括MRI和电诊断测试在内的诊断方式.
分析非手术和手术管理选项.

主要成果:

非手术治疗,包括多模式方法和神经调节,对大多数患者是有效的.
对于压缩性损伤或耐火症状,显示了手术减压.
在旋转手套修复过程中,辅助上神经减压可能会增加并发症率.

结论:

早期诊断和适当的管理,优先考虑非手术策略,对于有利的结果至关重要.
手术减压为孤立的神经问题提供了良好的结果,但建议对辅助程序保持谨慎.
进一步研究神经调节和精细的手术指示是有必要的.

关键词:

神经陷的陷是一种神经陷.神经病变是一种神经病变.肩膀肩膀在肩膀上头骨上神经神经的上层神经.

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