Superior cluneal nerve entrapment neuropathy due to lower crossed syndrome: A case with low back pain.

IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL Agri-The Journal of the Turkish Society of Algology Pub Date : 2022-10-01 DOI:10.14744/agri.2020.21703
Hatice Rana Erdem, Fatmanur Aybala Koçak, Emine Eda Kurt, Figen Tuncay
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Abstract

The superior cluneal nerve (SCN) is a sensory nerve known to be originated from the dorsal rami of the lower thoracic and lumbar nerve roots. One of the overlooked causes of low back pain (LBP) is the SCN Entrapment Neuropathy (SCNEN). SCNEN may also be associated with SCN stretching due to lumbar movement and the poor body posture through an increase in the paravertebral muscle tonus. A 59-year-old female patient presented with chronic LBP localized on the right iliac crest and radiating to the right buttock, groin, and leg. She had increased lumbar lordosis and anterior pelvic tilt. She had a tender point over the right iliac crest, and the pain was radiating to the buttock and posterolateral thigh (Tinel sign +). She was diagnosed with lower crossed syndrome and SCNEN, and a therapeutic nerve block was performed. Clinicians should consider SCNEN as a possible diagnosis of LBP.

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下交叉综合征所致膝上神经卡压神经病:腰痛1例。
臀上神经(SCN)是一种感觉神经,起源于下胸神经根和腰神经根的背支。腰痛(LBP)的一个被忽视的原因是SCN卡压神经病(SCNEN)。SCNEN也可能与腰椎运动和身体姿势不良导致的SCN拉伸有关,通过增加椎旁肌张力。一位59岁的女性患者表现为慢性腰痛,位于右髂嵴,并放射到右臀部、腹股沟和腿部。她腰椎前凸加重,骨盆前倾。右髂嵴上方有压痛点,疼痛放射至臀部和大腿后外侧(Tinel征+)。她被诊断为下交叉综合征和SCNEN,并进行了治疗性神经阻滞。临床医生应考虑SCNEN作为LBP的可能诊断。
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CiteScore
1.00
自引率
16.70%
发文量
22
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