Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, New York.
Department of Radiology, Hospital for Special Surgery, New York, New York.
JBJS Case Connect. 2020 Apr-Jun;10(2):e19.00462. doi: 10.2106/JBJS.CC.19.00462.
Two firefighters developed Parsonage-Turner syndrome (PTS) shortly after sustaining episodes of heat stroke. Patient 1 was a 40-year-old man who presented with shoulder pain and supraspinatus and infraspinatus weakness. Patient 2 was a 35-year-old man who presented with shoulder pain and absent external rotation strength. Both had electrodiagnostic testing and magnetic resonance imaging findings consistent with PTS. Both demonstrated partial but incomplete recovery at 1- and 2.5-year follow-ups, respectively.
PTS should remain on the differential diagnosis for any patient presenting with sudden onset shoulder pain and neurological deficits after an episode of heat-related illness.
两名消防员在出现热射病后不久均患上了胸廓出口综合征（Parsonage-Turner syndrome，PTS）。患者 1 为 40 岁男性，表现为肩部疼痛和冈上肌及冈下肌无力。患者 2 为 35 岁男性，表现为肩部疼痛和外旋肌无力。两人均进行了电诊断检查和磁共振成像检查，结果均符合 PTS 的表现。在 1 年和 2.5 年随访时，两人均分别表现出部分但不完全的恢复。
对于任何在热相关疾病发作后出现突发肩部疼痛和神经功能缺损的患者，都应将 PTS 纳入鉴别诊断。
