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肩胛上神经卡压症:解剖学、病因学、诊断与治疗

Entrapment of the suprascapular nerve: anatomy, etiology, diagnosis, treatment.

作者信息

Gosk Jerzy, Urban Maciej, Rutowski Roman

机构信息

Katedra i Klinika Chirurgii Urazowej i Chirurgii Reki Akademii Medycznej we Wrocławiu, Wrocław.

出版信息

Ortop Traumatol Rehabil. 2007 Jan-Feb;9(1):68-74.

Abstract

Entrapment of the suprascapular nerve is a rare peripheral neuropathy, which can be easily overlooked in the differential diagnosis of shoulder pain and dysfunction. Entrapment of the suprascapular nerve can occur at different locations along the pathway of the nerve. The primary symptoms are pain, weakness, and atrophy of the supraspinate and infraspinate muscles. Differential diagnosis should include brachial plexopathy, disorders of the cervical spine, cervical discopathy, glenohumeral pathology, tendonitis, and rotator cuff tear. Accurate diagnosis facilitates appropriate and timely treatment.

摘要

肩胛上神经卡压是一种罕见的周围神经病变,在肩部疼痛和功能障碍的鉴别诊断中很容易被忽视。肩胛上神经卡压可发生在神经走行的不同部位。主要症状是冈上肌和冈下肌疼痛、无力及萎缩。鉴别诊断应包括臂丛神经病变、颈椎疾病、颈椎间盘病变、盂肱关节病变、肌腱炎和肩袖撕裂。准确的诊断有助于进行恰当及时的治疗。

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