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运动员局灶性神经病的超声评估:临床重点综述。

Ultrasound evaluation of focal neuropathies in athletes: a clinically-focused review.

机构信息

Section of Sports Health, Department of Orthopaedic Surgery, Cleveland Clinic Florida, West Palm Beach, Florida, USA Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, Florida, USA.

Department of Physical Medicine and Rehabilitation, The Ohio State University, Columbus, Ohio, USA Associate Director of Medical Education, Department of Physical Medicine and Rehabilitation, Riverside Methodist Hospital, Columbus, Ohio, USA The McConnell Spine, Sport & Joint Center, Columbus, Ohio, USA.

出版信息

Br J Sports Med. 2015 Feb;49(3):166-75. doi: 10.1136/bjsports-2014-094268. Epub 2015 Jan 6.

Abstract

Focal neuropathies represent a rare but clinically important and potentially challenging aetiology of pain in athletes. Diagnostic ultrasound is commonly used in the evaluation of nerve entrapments, and has several advantages over other imaging modalities, including high resolution, portability, lack of ionising radiation, low cost, point-of-care access, ease of contralateral comparison and capability of Doppler and dynamic imaging techniques. In this review, we discuss the use of ultrasound for the evaluation of injuries to the brachial plexus including 'stingers,' suprascapular nerve, ulnar nerve, radial nerve, common fibular nerve, tibial nerve and interdigital nerves of the foot at selected common sites of entrapment.

摘要

局限性神经病是运动员疼痛的一种罕见但具有重要临床意义且可能具有挑战性的病因。诊断性超声在神经卡压的评估中被广泛应用,与其他成像方式相比具有许多优势,包括高分辨率、便携性、无电离辐射、低成本、即时访问、易于进行对侧比较以及具备多普勒和动态成像技术的能力。在这篇综述中,我们讨论了超声在评估臂丛神经损伤中的应用,包括在选定的常见卡压部位的“刺痛”、肩胛上神经、尺神经、桡神经、腓总神经、胫神经和足部的趾间神经。

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