椎根性病的头骨骨疼痛:一个范围审查
Joel Carmichael1, Kenneth A Weber2, Sidney Rubinstein3
1Department of Physical Medicine and Rehabilitation, School of Medicine, University of Colorado Anschutz Medical Campus, 13121 E 17 Ave, Mail Stop C244, Aurora, CO 80045, United States.
North American Spine Society journal
|July 7, 2025
概括
骨疼痛是椎根性病的常见症状,通常出现在手臂疼痛之前. 需要进一步的研究来确认其在这种情况下的诊断价值.
科学领域:
- 神经学 神经学
- 整形外科 整形外科 整形外科
- 疼痛管理 疼痛管理
背景情况:
- 骨疼痛和椎根性病变之间的关系仍在争论中.
- 关于界定宫干细胞病变及其疼痛分布存在缺乏共识.
- 椎根性病的头骨头痛的诊断价值尚不清楚.
研究的目的:
- 绘制关于椎根性病的头骨头疼痛分布的文献.
- 在临床实践和科学研究中综合现有关于脚疼痛的研究.
主要方法:
- 根据JBI方法和PRISMA-ScR扩展的范围审查.
- 包括报告宫性根系病变的研究,描述了根系疼痛分布.
- 排除了诸如外围神经病变,骨折,癌症和类风湿病等疾病.
主要成果:
- 审查了86项研究 (1957-2022年).
- 首部 (88%),手臂 (85%) 和肩膀 (72%) 是最常见的疼痛区域.
- C7神经根水平显示了最大的百分比的头骨头疼痛描述.
结论:
- 骨疼痛是宫根基病的支持症状.
- 骨疼痛可能会在手臂疼痛之前几周.
- 未来的研究应该定义根部疼痛,并评估脚疼痛的诊断效用.
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