Division of Plastic and Reconstructive Surgery, Department of Surgery, Barnes-Jewish Hospital, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8238, St Louis, MO 63110, USA.
Division of Plastic and Reconstructive Surgery, Department of Surgery, Sunnybrook Health Sciences Centre, M1-500, 2075 Bayview Avenue, Toronto, Ontario M4N 3M5, Canada.
Clin Plast Surg. 2020 Apr;47(2):267-278. doi: 10.1016/j.cps.2019.12.006.
There are more than 2 dozen nerve entrapment syndromes in the body. Generally, these occur at sites of fibroosseous or fibromuscular tunnels. Any insult that leads to an increase in the size of the nerve or a decrease in the volume of the tunnel will cause compression. Resultant nerve ischemia sets off a cascade of events that lead to predictable clinical signs and symptoms. Here, we review the most common nerve entrapment syndromes and highlight their assessment and management. Specific clinical scenarios that require a high suspicion for nerve entrapment are highlighted.
体内有超过 20 种神经卡压综合征。通常,这些发生在纤维骨性或纤维肌肉隧道的部位。任何导致神经增大或隧道容积减小的损伤都会导致压迫。由此产生的神经缺血引发一系列事件,导致可预测的临床体征和症状。在这里,我们回顾了最常见的神经卡压综合征,并强调了它们的评估和管理。突出了需要高度怀疑神经卡压的特定临床情况。