Sneag Darryl B, Lee Susan C, Feinberg Joseph H, Melisaratus Darius P, Amber Ian
Department of Radiology and Imaging, Hospital for Special Surgery, New York, NY, USA.
Hospital for Special Surgery, Physical Medicine and Rehabilitation, New York, NY, USA.
Skeletal Radiol. 2017 Dec;46(12):1657-1665. doi: 10.1007/s00256-017-2734-2. Epub 2017 Jul 28.
Magnetic resonance imaging (MRI) of mononeuropathy in muscles with dual innervation depicts geographic denervation corresponding to the affected nerve. Knowledge of the normal distribution of a muscle's neural supply is clinically relevant as partial muscle denervation represents a potential imaging pitfall that can be confused with other pathology, such as muscle strain. This article reviews the normal innervation pattern of extremity muscles with dual supply, providing illustrative examples of mononeuropathy affecting such muscles.
对具有双重神经支配的肌肉进行单神经病的磁共振成像(MRI)显示出与受影响神经相对应的区域性去神经支配。了解肌肉神经供应的正常分布在临床上具有相关性,因为部分肌肉去神经支配代表了一种潜在的成像陷阱,可能会与其他病理情况(如肌肉拉伤)相混淆。本文回顾了具有双重供应的四肢肌肉的正常神经支配模式,并提供了影响此类肌肉的单神经病的示例说明。