Hsu Po-Cheng, Chiu Jan-Wei, Chou Chen-Liang, Wang Jia-Chi
Department of Physical Medicine and Rehabilitation, Taipei Veterans General Hospital, Taipei, Taiwan(∗).
Department of Physical Medicine and Rehabilitation, Taipei Veterans General Hospital, Taipei, Taiwan(†).
PM R. 2017 Oct;9(10):1042-1046. doi: 10.1016/j.pmrj.2017.03.010. Epub 2017 Apr 9.
Massage-related nerve injury is an uncommon, rarely reported complication. We report an unusual case of radial nerve neuropathy at the spiral groove in a 58-year-old woman that resulted from a single episode of deep tissue massage. Although the spiral groove is known as the most common site implicated in radial nerve neuropathy, to our knowledge, there have not previously been any reports of massage-related spiral groove radial nerve neuropathy. Electrodiagnostic and ultrasound examinations were used to localize the nerve lesion at the spiral groove and also to provide prognostic evaluation. Serial follow-ups demonstrated concomitant improvement in clinical symptoms and electrodiagnostic parameters. A near-total recovery was achieved after 6 months. This case presentation aims to increase awareness and early recognition of massage-related nerve injuries.
V.
与按摩相关的神经损伤是一种罕见且鲜有报道的并发症。我们报告一例58岁女性在螺旋沟处发生桡神经病变的不寻常病例，该病变由单次深层组织按摩引起。虽然螺旋沟是桡神经病变最常见的累及部位，但据我们所知，此前尚无与按摩相关的螺旋沟桡神经病变的报道。采用电诊断和超声检查来定位螺旋沟处的神经损伤，并进行预后评估。系列随访显示临床症状和电诊断参数同步改善。6个月后实现了近乎完全恢复。本病例报告旨在提高对与按摩相关神经损伤的认识和早期识别。
V级。
