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上肢罕见的压迫性神经病变。

Unusual compressive neuropathies of the upper limb.

作者信息

Osterman A L, Babhulkar S

机构信息

Department of Orthopedic Hand Surgery, Thomas Jefferson Medical University, Philadelphia, Pennsylvania, USA.

出版信息

Orthop Clin North Am. 1996 Apr;27(2):389-408.

PMID:8614587
Abstract

Compression neuropathies are one of the most common causes of upper extremity pain. This article has addressed the diagnosis and treatment of some of the more unusual neuropathies. As always, a thorough knowledge of anatomy and its valuation, and a careful and impulsive physical examination will guide the clinician to the appropriate diagnosis. Electrical studies, done carefully and with the clinical diagnosis as a label, will often be confirmatory. In cases not responsive to nonoperative measures, surgery to decompress the nerve and to restore missing function will usually proved a modicum of patient improvement.

摘要

压迫性神经病变是上肢疼痛最常见的原因之一。本文探讨了一些较为罕见的神经病变的诊断和治疗。一如既往,对解剖结构及其评估有透彻的了解,以及细致且深入的体格检查,将引导临床医生做出恰当的诊断。精心进行且以临床诊断为依据的电生理检查,往往具有确诊作用。对于非手术治疗措施无反应的病例,解除神经压迫并恢复缺失功能的手术通常会使患者稍有改善。

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