Kumka Myroslava
J Can Chiropr Assoc. 2010 Mar;54(1):33-42.
IN THE CURRENT ANATOMIC STUDY, SPECIAL ATTENTION WAS GIVEN TO THE RELATIONSHIP OF THE POSTERIOR DIVISION OF THE OBTURATOR NERVE TO SURROUNDING STRUCTURES: the obturator canal and the fibromuscular and vascular structures of the medial thigh region. These intimate relationships may, in certain conditions, constitute critical sites of entrapment of the posterior division of the obturator nerve and may present a diagnostic challenge to the manual practitioner. Knowledge of the potential sites of entrapment of the posterior division of the obturator nerve can aid in differential diagnosis of peripheral neuropathies, provide an anatomic basis for obturator nerve pathology, and guide effective patient management, including the application of modern diagnostic techniques and safe surgical procedures.
在当前的解剖学研究中,特别关注了闭孔神经后支与周围结构的关系:闭孔管以及大腿内侧区域的纤维肌肉和血管结构。在某些情况下,这些密切关系可能构成闭孔神经后支的关键卡压部位,并且可能给手法治疗师带来诊断挑战。了解闭孔神经后支潜在的卡压部位有助于周围神经病变的鉴别诊断,为闭孔神经病理学提供解剖学依据,并指导有效的患者管理,包括现代诊断技术的应用和安全的外科手术。