Machetanz J, Unger L, Stelzner C, Wollina U, Schellong S
Klinik für Neurologie, Krankenhaus Dresden-Neustadt, Städtisches Klinikum, Akademisches Lehrkrankenhaus der TU Dresden, Industriestr. 40, 01129, Dresden, Deutschland,
Internist (Berl). 2013 Nov;54(11):1304-13. doi: 10.1007/s00108-013-3340-6.
Leg pain is a very common complaint in clinical medicine which deserves thorough investigation. All tissues of the lower leg are able to cause pain, each of them by different pathomechanisms. In the current review, all the different types of tissue, i.e., spine, neural plexus, peripheral nerves, muscles, and vasculature, are systematically covered. The different disease entities are explained in terms of pathophysiology and clinical picture. Diagnostic measures and pathways are sketched, as well as therapeutic approaches in some instances. Diseases of the bone and joint are omitted since they are the subject of orthopedic surgery.
腿痛是临床医学中非常常见的主诉,值得进行全面调查。小腿的所有组织都可能导致疼痛,每种组织的致病机制各不相同。在本综述中,系统涵盖了所有不同类型的组织,即脊柱、神经丛、周围神经、肌肉和血管系统。从病理生理学和临床表现方面解释了不同的疾病实体。概述了诊断措施和途径,以及某些情况下的治疗方法。由于骨与关节疾病属于骨科手术范畴,故予以省略。