Gerstenbrand F, Tilscher H, Berger M
MMW Munch Med Wochenschr. 1979 Sep 14;121(37):1173-6.
The differential diagnostic classification of the "shoulder-hand-syndrome" according to etiology and pathophysiological principles is of major importance. The radicular syndrome, subsumed as the shoulder-hand syndrome following a local lesion, must be exactly defined. The pseudoradicular syndrome, which frequently appears clinically in the cervical region under the guise of middle and lower cervical syndrome, has its cause in disturbed function of the vertebral joints. But it can also arise as a mixed syndrome, radicular and pseudoradicular, through a substantial root lesion. The diagnosis of a referred pain in a "shoulder-hand syndrome" can lead to the discovery of internal organic lesions or lesions of the locomotor apparatus of the extremities.
根据病因和病理生理原则对“肩手综合征”进行鉴别诊断分类至关重要。作为局部病变后归类为肩手综合征的神经根综合征必须精确定义。假性神经根综合征在临床上常以中下颈段综合征的形式出现在颈部,其病因是椎体关节功能紊乱。但它也可能作为一种混合综合征,即神经根性和假性神经根性综合征,由严重的神经根病变引起。“肩手综合征”中牵涉痛的诊断可能会发现体内器质性病变或四肢运动器官的病变。