Brown Robyn, O'Callaghan Jamie, Peter Noel
Trauma and Orthopaedics, Gloucestershire Hospitals NHS Foundation Trust, Gloucester, UK
Trauma and Orthopaedics, Gloucestershire Hospitals NHS Foundation Trust, Gloucester, UK.
BMJ Case Rep. 2020 Feb 13;13(2):e233073. doi: 10.1136/bcr-2019-233073.
Parsonage Turner syndrome (otherwise known as PTS, neuralgic amyotrophy or acute brachial neuritis) is a rare, but clinically significant cause of atraumatic shoulder girdle pain and weakness. Diagnosis is primarily clinical and can be challenging due to its heterogeneous presentation. A case of PTS following systemic infection from spondylodiscitis is presented. Timely consideration of the diagnosis prevented unnecessary investigation and allowed effective rehabilitation. This is the first case of PTS preceded by infection. PTS should be considered in those presenting with acute, atraumatic shoulder dysfunction after systemic infection.
帕森奇-特纳综合征(又称PTS、神经性肌萎缩或急性臂丛神经炎)是一种罕见但临床上导致非创伤性肩胛带疼痛和无力的重要病因。诊断主要依靠临床,但因其表现多样,诊断具有挑战性。本文报告一例因脊椎椎间盘炎全身感染后发生帕森奇-特纳综合征的病例。及时考虑该诊断避免了不必要的检查,并实现了有效的康复。这是首例由感染引发帕森奇-特纳综合征的病例。对于全身感染后出现急性非创伤性肩部功能障碍的患者,应考虑帕森奇-特纳综合征。