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关节镜下肩胛背神经减压治疗肩胛胸壁关节疼痛性异常活动:技术与适应症

Arthroscopic Dorsal Scapular Nerve Decompression for Painful Scapulothoracic Abnormal Motion: Technique and Indications.

作者信息

Lohre Ryan, Ahmed Abdulaziz F, Elhassan Bassem

机构信息

Department of Orthopaedic Surgery, Harvard Medical School, Massachusetts General Hospital, MGH Scapula Program, Boston, Massachusetts, U.S.A.

Missouri Orthopaedic Institute, Department of Orthopaedic Surgery, University of Missouri School of Medicine, Columbia, Missouri, U.S.A.

出版信息

Arthrosc Tech. 2024 Dec 4;14(4):103357. doi: 10.1016/j.eats.2024.103357. eCollection 2025 Apr.

DOI:10.1016/j.eats.2024.103357
PMID:40452968
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12126054/
Abstract

Patients with scapulothoracic abnormal motion can present with debilitating medial scapular border pain. In patients with scapulothoracic abnormal motion and evidence of diffuse medial scapular border pain along the dorsal scapular nerve (DSN) distribution, surgical release of the DSN is indicated. This Technical Note provides an all-arthroscopic approach to thoracic decompression of the DSN.

摘要

肩胛胸壁关节活动异常的患者可能会出现使人衰弱的肩胛内侧缘疼痛。对于存在肩胛胸壁关节活动异常且有沿肩胛背神经(DSN)分布的弥漫性肩胛内侧缘疼痛证据的患者,建议进行DSN手术松解。本技术说明提供了一种全关节镜下DSN胸廓减压方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6221/12126054/40e545822182/gr9.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6221/12126054/40e545822182/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6221/12126054/b9db740c5743/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6221/12126054/538c2d5dbe93/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6221/12126054/ab4de06d0766/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6221/12126054/657bcfbb3cb8/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6221/12126054/5190aa453ca4/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6221/12126054/099eca1b189a/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6221/12126054/54d14413cf75/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6221/12126054/8ec918804272/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6221/12126054/40e545822182/gr9.jpg

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Dynamic Scapular Winging Caused by Long Thoracic Nerve Compression due to Scapular Osteochondroma: A Case Report.动态肩胛翼状畸形由肩胛骨软骨瘤压迫导致的胸长神经受压引起:一例报告。
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Myofascial pain - A major player in musculoskeletal pain.
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Best Pract Res Clin Rheumatol. 2024 Mar;38(1):101944. doi: 10.1016/j.berh.2024.101944. Epub 2024 Apr 21.
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Surgical Repair for Rhomboid Major Tear: A Case Report.菱形肌大撕裂的手术修复:一例报告
Clin Med Insights Arthritis Musculoskelet Disord. 2023 Dec 18;16:11795441231219009. doi: 10.1177/11795441231219009. eCollection 2023.
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Outcomes after arthroscopic scapulothoracic bursectomy for the treatment of symptomatic snapping scapula syndrome.关节镜下肩胛胸壁滑囊切除术治疗有症状的弹响肩胛综合征后的疗效
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