Madani Afarine, Creteur Viviane
CUB Erasme Hospital, BE.
J Belg Soc Radiol. 2017 Dec 16;101(Suppl 2):9. doi: 10.5334/jbr-btr.1382.
Peripheral neuropathies of the shoulder are common and could be related to traumatic injury, shoulder surgery, infection or tumour but usually they result from an entrapment syndrome. Imaging plays an important role to detect the underlying causes, to assess the precise topography and the severity of nerve damage. The key points concerning the imaging of nerve entrapment syndrome are the knowledge of the particular topography of the injured nerve, and the morphology as well signal modifications of the corresponding muscles. Magnetic Resonance Imaging best shows these findings, although Ultrasounds and Computed Tomography sometimes allow the diagnosis of neuropathy.
肩部周围神经病变很常见,可能与创伤性损伤、肩部手术、感染或肿瘤有关,但通常是由卡压综合征引起的。影像学在检测潜在病因、评估神经损伤的精确位置和严重程度方面发挥着重要作用。关于神经卡压综合征影像学的关键点是了解受损神经的特定位置,以及相应肌肉的形态和信号改变。磁共振成像最能显示这些表现,尽管超声和计算机断层扫描有时也能诊断神经病变。