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上肢周围神经卡压性疾病的超声诊断:叙述性综述。

Ultrasound Diagnosis of Upper Extremity Peripheral Entrapment Neuropathies: A Narrative Review.

机构信息

Department of Orthopaedic Surgery, Sports Medicine, Emory University School of Medicine, Atlanta, Georgia.

Department of Orthopaedic Surgery, Hand and Upper Extremity Surgery, Emory University School of Medicine, Atlanta, Georgia.

出版信息

JBJS Rev. 2024 Sep 19;12(9). doi: e24.00099. eCollection 2024 Sep 1.

Abstract

» Diagnostic ultrasound evaluation has become an important adjunct to electrodiagnostic studies in the diagnosis of upper extremity entrapment neuropathy. » For the common median and ulnar entrapment neuropathies, published normative values for nerve cross-sectional area at the wrist and elbow have demonstrated a high degree of diagnostic validity of diagnostic ultrasound. » Expert consensus on best practice for the clinical use of these reference is lacking and should be a logical next step in the deployment of ultrasound for upper extremity neuropathy evaluation.

摘要

“在诊断上肢嵌压神经病时,超声诊断已成为电诊断研究的重要辅助手段。” “对于常见的正中神经和尺神经嵌压性神经病,腕部和肘部神经横截面积的出版正常值已证明超声诊断具有高度的诊断准确性。” “对于这些参考值的临床应用,缺乏专家共识最佳实践,而这应该是将超声应用于上肢神经病评估的下一步合理举措。”

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