Houlden Henry, Charlton Paul, Singh Dishan
Centre for Neuromuscular Disease and Department of Molecular Neurosciences, The National Hospital for Neurology and Neurosurgery, Queen Square, London WC1N 3BG, UK.
J Neurol Neurosurg Psychiatry. 2007 Mar;78(3):224-32. doi: 10.1136/jnnp.2006.092072.
Neurology encompasses all aspects of medicine and surgery, but is closer to orthopaedic surgery than many other specialities. Both neurological deficits and bone disorders lead to locomotor system abnormalities, joint complications and limb problems. The main neurological conditions that require the attention of an orthopaedic surgeon are disorders that affect the lower motor neurones. The most common disorders in this group include neuromuscular disorders and traumatic peripheral nerve lesions. Upper motor neurone disorders such as cerebral palsy and stroke are also frequently seen and discussed, as are chronic conditions such as poliomyelitis. The management of these neurological problems is often coordinated in the neurology clinic, and this group, probably more than any other, requires a multidisciplinary team approach.
神经病学涵盖了医学和外科的各个方面，但与许多其他专科相比，它与骨科手术更为接近。神经功能缺损和骨骼疾病都会导致运动系统异常、关节并发症和肢体问题。骨科医生需要关注的主要神经疾病是影响下运动神经元的疾病。这一组中最常见的疾病包括神经肌肉疾病和外伤性周围神经损伤。上运动神经元疾病，如脑瘫和中风，也很常见并经常被讨论，脊髓灰质炎等慢性病也是如此。这些神经问题的管理通常在神经科门诊进行协调，而且这一组疾病可能比其他任何疾病组都更需要多学科团队的方法。
