Osterman A L, Babhulkar S
Department of Orthopedic Hand Surgery, Thomas Jefferson Medical University, Philadelphia, Pennsylvania, USA.
Orthop Clin North Am. 1996 Apr;27(2):389-408.
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.
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。