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诊断明确时易于治疗:三例臀肌疼痛及超声检查的优势

Easy to treat when the diagnosis is made: Three cases of clunealgia and the advantage of ultrasonography.

作者信息

Yürük Damla, Akkaya Ömer Taylan, Polat Özgür Emre, Alptekin Hüseyin Alp, Köse Güven Selin

机构信息

Department of Algology, Health Sciences University, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Türkiye.

出版信息

Turk J Phys Med Rehabil. 2022 Jun 1;68(2):300-305. doi: 10.5606/tftrd.2022.6550. eCollection 2022 Jun.

Abstract

In this article, we present three cases of clunealgia admitted with low back pain. Their pain relieved with superior cluneal nerve block. The posterior side of the iliac crest, which is the location where the superior cluneal nerve passes, was identified using a high-frequency linear transducer. The drug injected separates the erector spinae muscle and thoracolumbar fascia and accumulates between these two structures. All patients were discharged with a complete pain relief. This report highlights the fact that superior cluneal nerve entrapment should be kept in mind in patients with low back pain and that ultrasound guidance can correctly identify the infiltration and eliminate anesthetization of other surrounding structures.

摘要

在本文中,我们介绍了三例以腰痛入院的臀上皮神经痛病例。他们的疼痛通过臀上皮神经阻滞得到缓解。使用高频线性探头确定了臀上皮神经通过的髂嵴后侧。注射的药物将竖脊肌和胸腰筋膜分开,并积聚在这两个结构之间。所有患者均出院,疼痛完全缓解。本报告强调,对于腰痛患者应考虑到臀上皮神经卡压,并且超声引导能够正确识别浸润情况并避免麻醉周围的其他结构。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b47/9366497/99c35e511e4d/TJPMR-2022-68-2-300-305-F1.jpg

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