肘部周围神经综合征:对当前治疗方法的回顾
Domenick Bartoletti1, Aavni Gupta2, William Bohne1
1Wright State University Boonshoft School of Medicine, Dayton, OH, USA.
The archives of bone and joint surgery
|January 9, 2026
概括
肘部的外围神经压缩综合征,包括阴茎道综合征,可以导致显著的缺陷. 本综述巩固了关于保守和手术治疗的证据,以改善这些罕见但使人衰弱的疾病的结果.
科学领域:
- 整形外科 整形外科 整形外科
- 神经学 神经学
- 物理医学和康复 康复
背景情况:
- 肘部周围神经压缩综合征并不常见,但可能导致严重的运动和感觉障碍.
- 这些疾病包括阴茎道综合征 (CuTS),辐射道综合征 (RTS),后骨间综合征 (PINS),前头骨间神经综合征 (PTS) 和前骨间神经综合征 (AINS).
研究的目的:
- 审查和综合治疗肘部神经陷综合征的最新证据.
- 为改善治疗结果提供临床建议.
主要方法:
- 系统审查当前关于保守和外科干预的文献.
- 治疗疗效的分析,包括物理治疗, splinting,NSAIDs,皮质类固醇注射和手术减压.
主要成果:
- 像物理治疗, splinting,NSAIDs和皮质类固醇注射等保守的治疗是第一线的选择.
- 对于治疗失败的情况,显示了手术减压,使用最少的侵入性技术显示了减少恢复时间的希望.
- 神经滑动练习和患者教育对于管理挑性运动至关重要.
结论:
- 目前的证据支持对肘部神经陷的多模式方法,从保守的措施开始.
- 需要进一步的研究来建立明确的治疗算法,并推进微创手术技术.
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