Advanced Musculoskeletal Medicine Consultants, Inc, Novelty, Ohio, USA.
Edward Hines Jr Veterans Administration Hospital, Hines, Illinois, USA.
J Ultrasound Med. 2020 May;39(5):1023-1029. doi: 10.1002/jum.15166. Epub 2019 Nov 9.
Patients and physicians have increasingly sought minimally invasive procedures such as ultrasound-guided injection for the treatment of peripheral nerve entrapment syndromes. In this series, we assessed subjective outcome data in 14 patients who underwent ultrasound-guided perineural hydrodissection and steroid injection for pronator syndrome secondary to median nerve entrapment in the pronator tunnel. Excellent symptomatic relief (≥75% improvement) was achieved in 70% of nerves with 3-month follow-up data, with no significant change in symptoms between 3 and 6 months. These outcomes suggest that this technique could play a role in the management of pronator syndrome due to median nerve entrapment.
患者和医生越来越多地寻求微创治疗方法，例如超声引导下注射，以治疗周围神经卡压综合征。在本系列中，我们评估了 14 例因正中神经在旋前管内受压而导致旋前综合征的患者接受超声引导下神经周围水分离和类固醇注射的主观疗效数据。在接受 3 个月随访的神经中，有 70%的神经获得了极好的症状缓解（≥75%的改善），在 3 至 6 个月之间症状无明显变化。这些结果表明，该技术可能在正中神经卡压所致旋前综合征的治疗中发挥作用。
