Dimeff Robert J
Department of Orthopedic Surgery, The Cleveland Clinic Foundation, 9500 Euclid Avenue, Desk A41, Cleveland, OH 44195, USA.
Curr Sports Med Rep. 2003 Oct;2(5):255-61. doi: 10.1249/00149619-200310000-00005.
Symptoms of entrapment neuropathies are often intermittent, making the diagnosis a challenge; pain, paresthesias, exertional fatigue, weakness, and atrophy may be present. An accurate, detailed history and physical examination, often after activity, is essential to make an accurate diagnosis. Laboratory, radiographic, and electromyographic studies may be helpful, but are often normal. This article reviews the etiology, evaluation, and treatment of the most common upper extremity entrapment neuropathies related to sports participation. Most conditions respond to conservative measures of rehabilitation exercises, relative rest, correction of training and equipment errors, anti-inflammatory medications, and protective padding or bracing; occasionally surgical intervention is necessary.
卡压性神经病变的症状通常是间歇性的，这使得诊断颇具挑战；可能会出现疼痛、感觉异常、运动性疲劳、无力和萎缩。准确、详细的病史和体格检查（通常在活动后进行）对于准确诊断至关重要。实验室检查、影像学检查和肌电图检查可能会有所帮助，但结果通常正常。本文回顾了与运动参与相关的最常见上肢卡压性神经病变的病因、评估和治疗。大多数情况对康复锻炼、相对休息、纠正训练和设备错误、抗炎药物以及保护性衬垫或支具等保守措施有反应；偶尔需要手术干预。
