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用于股四头肌肌腱断裂所致慢性疼痛的周围神经刺激器:一例报告

Peripheral Nerve Stimulator for Chronic Pain From Quadriceps Tendon Rupture: A Case Report.

作者信息

Gargya Akshat, Dhaliwal Sampreet, Haider Naeem

机构信息

Anesthesia and Pain Medicine, University of Vermont, South Burlington, USA.

Anesthesia, Trinity Health Oakland/Wayne State University, Oakland, USA.

出版信息

Cureus. 2023 Jun 3;15(6):e39916. doi: 10.7759/cureus.39916. eCollection 2023 Jun.

DOI:10.7759/cureus.39916
PMID:37287822
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10241987/
Abstract

Chronic pain from quadriceps tendon rupture (QTR) presents a significant challenge for both orthopedic surgeons and pain management physicians. Current treatment options include physical therapy and medication management. Patients with refractory pain often end up using opioids and suffer from a prolonged disability that affects the quality of their life. A peripheral nerve stimulator is a novel treatment option for QTR. It is a minimally invasive treatment option that can be used to manage refractory cases in the future. We report a case of successful management of chronic pain in a patient with bilateral QTR with a femoral peripheral nerve stimulator.

摘要

股四头肌肌腱断裂(QTR)导致的慢性疼痛对骨科医生和疼痛管理医生来说都是一项重大挑战。目前的治疗选择包括物理治疗和药物管理。疼痛难治的患者最终往往会使用阿片类药物,并长期残疾,影响生活质量。外周神经刺激器是QTR的一种新型治疗选择。它是一种微创治疗选择,未来可用于治疗难治性病例。我们报告一例使用股神经外周神经刺激器成功治疗双侧QTR患者慢性疼痛的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9709/10241987/bc0e6a139c21/cureus-0015-00000039916-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9709/10241987/bc0e6a139c21/cureus-0015-00000039916-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9709/10241987/bc0e6a139c21/cureus-0015-00000039916-i01.jpg

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Evidence-Based Clinical Guidelines from the American Society of Pain and Neuroscience for the Use of Implantable Peripheral Nerve Stimulation in the Treatment of Chronic Pain.美国疼痛与神经科学学会关于使用植入式周围神经刺激治疗慢性疼痛的循证临床指南。
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Opioid analgesic use after ambulatory surgery: a descriptive prospective cohort study of factors associated with quantities prescribed and consumed.
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BMJ Open. 2021 Aug 12;11(8):e047928. doi: 10.1136/bmjopen-2020-047928.
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Neuromodulation. 2021 Aug;24(6):1059-1066. doi: 10.1111/ner.13334. Epub 2020 Dec 14.
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