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正中神经卡压性神经病：旋前圆肌综合征综述

Median nerve entrapment neuropathy: a review on the pronator syndrome.

作者信息

Binsaleem Saud

机构信息

Department of Orthopedic Surgery, Dr. Sulaiman Al-Habib Medical group (HMG), Riyadh, Saudi Arabia.

出版信息

JSES Rev Rep Tech. 2024 Nov 13;5(1):70-78. doi: 10.1016/j.xrrt.2024.10.001. eCollection 2025 Feb.

DOI:10.1016/j.xrrt.2024.10.001
PMID:39872334
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11764074/
Abstract

Pronator syndrome is a compression neuropathy of the median nerve within the anatomical structures of the elbow and forearm. It presents with neuropathic pain, numbness, and weakness of the forearm and hand, which are often exacerbated by repetitive pronation-supination movements. Patient presentation may mimic the signs and symptoms of carpal tunnel syndrome. Diagnosis requires comprehensive clinical assessment, employing provocative examination along with electrophysiological and imaging studies for accurate evaluation. Treatment strategies encompass conservative measures such as activity modification and physical therapy, whereas surgical intervention may be warranted in severe cases that are refractory to conservative treatment. By reviewing the current literature within the spectrum of median nerve entrapment neuropathies, this review aimed to enhance and summarize the current understanding by consolidating the existing knowledge for improved patient outcomes.

摘要

旋前圆肌综合征是指正中神经在肘部和前臂的解剖结构内受到压迫而导致的神经病变。其症状表现为神经性疼痛、麻木以及前臂和手部无力，这些症状常在重复性旋前-旋后运动时加重。患者的临床表现可能与腕管综合征的体征和症状相似。诊断需要进行全面的临床评估，采用激发试验以及电生理和影像学检查以进行准确评估。治疗策略包括保守措施，如调整活动和进行物理治疗，而对于保守治疗无效的严重病例，可能需要进行手术干预。通过回顾正中神经卡压性神经病变范围内的当前文献，本综述旨在通过整合现有知识来加强和总结当前的认识，以改善患者的治疗效果。

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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a67f/11764074/555dd306d419/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a67f/11764074/5ec2b1b37b4a/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a67f/11764074/0707cf0ef132/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a67f/11764074/85ede81d7e2f/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a67f/11764074/f5be19e15f56/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a67f/11764074/86fb30a43219/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a67f/11764074/e3ab21354321/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a67f/11764074/3405ecd21d95/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a67f/11764074/25d8a574efe1/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a67f/11764074/89b11cbecb33/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a67f/11764074/555dd306d419/gr10.jpg

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A Rare Case of Traumatic Acute Pronator Syndrome in the Setting of Anticoagulation Therapy.
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Cureus. 2023 Mar 30;15(3):e36931. doi: 10.7759/cureus.36931. eCollection 2023 Mar.
4
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Int Orthop. 2023 May;47(5):1277-1284. doi: 10.1007/s00264-023-05735-8. Epub 2023 Feb 25.
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Lacertus syndrome: a ten year analysis of two hundred and seventy five minimally invasive surgical decompressions of median nerve entrapment at the elbow.Lacertus 综合征：肘管正中神经卡压微创减压 275 例 10 年分析。
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