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颈椎半月板样结构:其形态特征及潜在临床意义的最新进展

Cervical spine meniscoids: an update on their morphological characteristics and potential clinical significance.

作者信息

Farrell S F, Osmotherly P G, Cornwall J, Sterling M, Rivett D A

机构信息

Recover Injury Research Centre, Griffith University, Building G05, Griffith University Gold Coast Campus, Parklands Drive, Southport, QLD, 4222, Australia.

School of Health Sciences, Faculty of Health and Medicine, The University of Newcastle, Callaghan, NSW, 2308, Australia.

出版信息

Eur Spine J. 2017 Apr;26(4):939-947. doi: 10.1007/s00586-016-4915-4. Epub 2016 Dec 19.

Abstract

PURPOSE

Cervical spine meniscoids are intra-articular folds of synovial membrane that have been theorised to have potential clinical significance in neck pain. Recent anatomical and clinical research has re-visited the pathoanatomical capacity of these structures. The purpose of this review is to discuss cervical spine meniscoid morphology in light of recently published work, to provide an update on the plausible relevance of these structures to clinical practice.

METHODS

Narrative review critically discussing basic science and clinical research regarding cervical spine meniscoids, with focus upon implications for clinical practice.

RESULTS

Basic science research indicates that cervical spine meniscoids can be innervated and appear to vary in morphology in the presence of articular degeneration. In a clinical population, associations have been observed between cervical spine meniscoid morphology and presence of cervical spine symptoms.

CONCLUSIONS

Recent studies regarding cervical spine meniscoid morphology provide further evidence of pathoanatomical capacity of these structures. Further research is required, however, in clinical populations to empirically investigate specific theorised mechanisms of cervical spine meniscoid involvement in neck pain.

摘要

目的

颈椎半月板样结构是滑膜的关节内褶皱,理论上认为其在颈部疼痛方面具有潜在临床意义。近期的解剖学和临床研究重新审视了这些结构的病理解剖学特征。本综述的目的是根据最近发表的研究探讨颈椎半月板样结构的形态,并就这些结构与临床实践的可能相关性提供最新信息。

方法

叙述性综述,批判性地讨论有关颈椎半月板样结构的基础科学和临床研究,重点关注对临床实践的影响。

结果

基础科学研究表明,颈椎半月板样结构可被神经支配,并且在存在关节退变时其形态似乎有所不同。在临床人群中,已观察到颈椎半月板样结构形态与颈椎症状的存在之间存在关联。

结论

近期有关颈椎半月板样结构形态的研究为这些结构的病理解剖学特征提供了进一步证据。然而,还需要在临床人群中进行进一步研究,以实证研究颈椎半月板样结构参与颈部疼痛的具体理论机制。

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