使用诊断性肌肉骨骼超声波评估梨状肌综合症:康复治疗师综述》。

IF 1.6 Q3 SPORT SCIENCES International Journal of Sports Physical Therapy Pub Date : 2024-06-01 eCollection Date: 2024-01-01 DOI:10.26603/001c.118145
Robert C Manske, Chris Wolfe, Phil Page, Michael Voight, Beth Bardowski
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引用次数: 0

摘要

梨状肌综合症(Piriformis Syndrome,PS)是一种神经肌肉疾病,由坐骨神经在梨状肌(Piriformis muscle,PM)处受压引起,可导致严重不适和残疾。由于坐骨神经痛的症状与其他腰部和坐骨神经问题重叠,因此经常被误诊,尽管最近出现了侵入性和非侵入性诊断方法,但诊断坐骨神经痛仍然具有挑战性。诊断性肌肉骨骼超声(MSK US)可为腰椎间盘突出症的鉴别和评估提供一种无创、经济有效的替代方法,它能对腰椎间盘突出症和邻近结构进行动态、实时成像。本文回顾了 MSK US 在 PS 诊断中的应用、优势和程序见解,并强调了其在康复环境中的相关性。我们讨论了超声使用的技术方面、研究结果的解释以及与临床实践的结合,旨在提高疑似 PS 患者的诊断准确性和治疗效果。
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Use of Diagnostic Musculoskeletal Ultrasound in the Evaluation of Piriformis Syndrome: A Review for Rehabilitation Providers.

Piriformis Syndrome (PS) is a neuromuscular condition caused by the entrapment of the sciatic nerve at the level of the piriformis muscle (PM) and can cause significant discomfort and disability. PS is often misdiagnosed due to its overlapping symptoms with other lumbar and sciatic issues and as such, diagnosing PS remains challenging despite recent invasive and non-invasive diagnostic methods. Diagnostic musculoskeletal ultrasound (MSK US) offers a non-invasive, cost-effective alternative for the identification and evaluation of PS, providing dynamic, real-time imaging of the PM and adjacent structures. This article reviews the applications, advantages, and procedural insights of MSK US in the diagnosis of PS, emphasizing its relevance in rehabilitation settings. We discuss the technical aspects of ultrasound use, interpretation of findings, and integration into clinical practice, aiming to enhance the diagnostic accuracy and therapeutic outcomes for patients with suspected PS.

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来源期刊
CiteScore
2.50
自引率
5.90%
发文量
124
审稿时长
16 weeks
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