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[腓浅神经卡压:超声引导下液压分离术。病例报告]

[Superficial peroneal nerve entrapment: ultrasound-guided hydrodissection. A case report].

作者信息

Abdelkader-Azirar M, Formigo-Couceiro J, Alonso-Bidegaín M

机构信息

Hospital Universitario Central de Asturias, Oviedo, Principado de Asturias, España.

Servicio de Medicina Física y Rehabilitación, Complexo Hospitalario Universitario de A Coruña, A Coruña, España.

出版信息

Rehabilitacion (Madr). 2024 Jul-Sep;58(3):100852. doi: 10.1016/j.rh.2024.100852. Epub 2024 May 21.

Abstract

Peripheral nerve entrapment is an underdiagnosed pathology when it is not the most common syndromes such as carpal tunnel syndrome or cubital tunnel syndrome. The symptomatic lesion of the superficial peroneal nerve (SPN) has a low incidence, being its diagnosis sometimes complex. It is based on a exhaustive physical examination and imaging tests such as ultrasound (US) or magnetic resonance imaging (RMI). Conservative treatment may sometimes not be sufficient, requiring surgical techniques in refractory cases. We present a patient diagnosed with superficial peroneal nerve entrapment by ultrasound and diagnostic nerve block that was subsequently resolved by hydrodissection technique at the level of the deep crural fascia tunnel. The results were satisfactory with a complete resolution of the clinical process since the application of this technique.

摘要

当周围神经卡压不是最常见的综合征,如腕管综合征或肘管综合征时,它是一种诊断不足的病理情况。腓浅神经(SPN)的症状性病变发病率较低,其诊断有时很复杂。它基于详尽的体格检查和超声(US)或磁共振成像(MRI)等影像学检查。保守治疗有时可能不够,难治性病例需要手术技术。我们报告一例通过超声和诊断性神经阻滞诊断为腓浅神经卡压的患者,随后通过在小腿深筋膜隧道水平进行水分离技术得以解决。自应用该技术以来,临床过程完全缓解,结果令人满意。

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