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肩部的卡压性神经病

Entrapment neuropathies of the shoulder.

作者信息

Budzik Jean-François, Wavreille Guillaume, Pansini Vittorio, Moraux Antoine, Demondion Xavier, Cotten Anne

机构信息

Service d'Imagerie Médicale, Groupe Hospitalier de l'Institut Catholique de Lille/Faculté Libre de Médecine, F-59000 Lille, France.

出版信息

Magn Reson Imaging Clin N Am. 2012 May;20(2):373-91, xii. doi: 10.1016/j.mric.2012.01.013.

Abstract

Entrapment neuropathies are a rare but presumably underdiagnosed cause of shoulder pain and painful instability. Radiologists must be aware of the clinical presentations and imaging features of these neuropathies because they may be the first to suggest these diagnoses. In this article, instead of a classical nerve-by-nerve approach, entrapment neuropathies are deciphered according to the clinical situation: which anatomic structures may be involved, how to explore them, which imaging abnormalities can be expected, how to manage differential diagnoses, and which therapeutic options can be considered.

摘要

卡压性神经病是肩部疼痛和疼痛性不稳定的一种罕见但可能未被充分诊断的病因。放射科医生必须了解这些神经病的临床表现和影像学特征,因为他们可能是最早提出这些诊断的人。在本文中,不是采用经典的逐一神经的方法,而是根据临床情况来解读卡压性神经病:哪些解剖结构可能受累、如何进行检查、可能出现哪些影像学异常、如何处理鉴别诊断以及可以考虑哪些治疗选择。

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