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法医面临的周围神经创伤的临床解剖学与诊断挑战

Clinical Anatomy and Diagnostic Challenges in Peripheral Nerve Trauma for the Forensic Physician.

作者信息

Hostiuc Sorin, Ciobanu Oana-Mihaela, Popa Eliza, Căținaș Raluca, Ionescu-Mihăiță Amalia Maria, Sima Andreea, Negoi Ionut, Costescu Mihnea

机构信息

Department of Legal Medicine and Bioethics, Carol Davila University of Medicine and Pharmacy, 020021 Bucharest, Romania.

National Institute of Legal Medicine, 042122 Bucharest, Romania.

出版信息

Diagnostics (Basel). 2025 Jun 24;15(13):1597. doi: 10.3390/diagnostics15131597.

Abstract

Peripheral nerve injuries represent a significant challenge in legal medicine, and their proper management and evaluation are at the intersection of clinical medicine, anatomical science, and legal medicine. In this review, we aimed to integrate current knowledge about the anatomy, physiology, clinical management, and paraclinical assessment of peripheral nerve injuries, targeted explicitly for medical-legal practice. We conducted a comprehensive review of the medical-legal evaluation framework needed to evaluate peripheral nerve injuries, with particular emphasis on anatomical variations, imaging techniques, and methods to assess the timing of injury. Peripheral nerve injuries should be analyzed using a complex approach, which includes anatomical characteristics, variants, microanatomy, physiopathology, imaging, and other paraclinical evaluations. The analysis of causation and timing of injury should be heavily based on objective criteria and should be performed using a reproducible, objective, and scientifically based approach.

摘要

周围神经损伤是法医学中的一项重大挑战,其妥善管理和评估涉及临床医学、解剖学和法医学的交叉领域。在本综述中,我们旨在整合有关周围神经损伤的解剖学、生理学、临床管理和辅助临床评估的现有知识,专门针对法医实践。我们对评估周围神经损伤所需的法医学评估框架进行了全面综述,特别强调解剖变异、成像技术和评估损伤时间的方法。周围神经损伤应采用综合方法进行分析,包括解剖特征、变异、微观解剖、生理病理学、成像和其他辅助临床评估。损伤因果关系和时间的分析应高度基于客观标准,并应采用可重复、客观且基于科学的方法进行。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07ad/12248805/dc69fc9884b9/diagnostics-15-01597-g001.jpg

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