Stefan H
Neurologische Klinik mit Poliklinik, Universität Erlangen-Nürnberg.
Fortschr Med. 1994 Nov 30;112(33):477-81.
For the most part, mechanical injuries to peripheral nerves occurring at work or at play as a result of closed traumatization, are caused by compressive, stretching/shearing or vibrational forces. In a patient in whom various compression lesions of peripheral nerves recur, the possible presence of a predisposing hereditary neuropathy must be considered. Modern magnetic resonance imaging is capable of clarifying the causes and conditions of compression injuries, in particular in the region of the tunnel: presence of osteophytes, other space-consuming processes or anatomical narrowing of the tunnel. Injury sequelae, for example in the case of carpal tunnel syndrome affecting the median nerve, or tendinopathies, can also be visualized. A number of lesions and their triggering mechanisms that occur during work or leisure are described.
在很大程度上，工作或娱乐中因闭合性创伤导致的周围神经机械性损伤是由压迫、拉伸/剪切或振动力量引起的。对于周围神经反复出现各种压迫性病变的患者，必须考虑可能存在的遗传性易患神经病。现代磁共振成像能够明确压迫性损伤的原因和状况，尤其是在通道区域：骨赘的存在、其他占位性病变或通道的解剖学狭窄。损伤后遗症，例如影响正中神经的腕管综合征或肌腱病的情况，也可以可视化。本文描述了工作或休闲期间发生的一些损伤及其触发机制。
