Beltran Luis S, Bencardino Jenny, Ghazikhanian Varand, Beltran Javier
Department of Radiology, Hospital for Joint Diseases, New York University, New York, NY, USA.
Semin Musculoskelet Radiol. 2010 Nov;14(5):501-11. doi: 10.1055/s-0030-1268070. Epub 2010 Nov 11.
Clinicians frequently encounter compressive neuropathies of the lower extremity. The clinical history and physical examination, along with electrodiagnostic testing and imaging studies, lead to the correct diagnosis. The imaging characteristics of the compression neuropathies can include acute and chronic changes in the nerves and the muscles they innervate. We provide a detailed review of compression neuropathies of the lower extremity with an emphasis on magnetic resonance (MR) imaging characteristics. We discuss the clinical presentation, etiology, anatomical location, and MR imaging appearance of these neuropathies, including the piriformis syndrome, iliacus syndrome, saphenous neuropathy, obturator neuropathy, lateral femoral cutaneous neuropathy (meralgia paresthetica), proximal tibial neuropathy, common peroneal neuropathy, deep peroneal neuropathy, superficial peroneal neuropathy, tarsal tunnel syndrome, Baxter's neuropathy, jogger's foot, sural neuropathy, and Morton's neuroma.
临床医生经常会遇到下肢压迫性神经病变。临床病史、体格检查,以及电诊断测试和影像学检查,有助于做出正确诊断。压迫性神经病变的影像学特征可包括神经及其所支配肌肉的急性和慢性变化。我们对下肢压迫性神经病变进行了详细综述,重点关注磁共振(MR)成像特征。我们讨论了这些神经病变的临床表现、病因、解剖位置和MR成像表现,包括梨状肌综合征、髂肌综合征、隐神经病变、闭孔神经病变、股外侧皮神经病变(感觉异常性股痛)、胫神经近端病变、腓总神经病变、腓深神经病变、腓浅神经病变、跗管综合征、巴克斯特神经病变、跑步者足、腓肠神经病变和 Morton 神经瘤。