Mi-Ne 發問時間: 社會與文化語言 · 1 0 年前

醫學英文翻中文~~急

In the search for better clinical access to patiients with ankle "impingement" syndromes and persistent achilles tendon problems, the sural nerve and its branches were considered as possible sources

Although regarded as an uncommon neuropathy (see"sprained ankle" chapter 15),injury to this nerve appears quite common in ankle sprains and it only takes half a minute to perform a test

The sural nerve runs laterally to the achilles tendon and then inferior to the lateral malleolus thus if the ankle was dorsiflexed and the foot inverted this would place a load on the nerve as other lateral strutures

Use the some position and handling as for the dorsiflexion/eversion/SLR manoeuvre desoribed above, except invert rather than evert the foot a straight leg raise can then be added to this position

A normal response to ankle dorsiflexion/inversion+SLR to a painful limit was tested by Molesworth(1992) in 30 volunteers ages 18 to 30 years. Symptoms were evoked in the posterion calf and posterolateral ankle area with some reporting symptoms in the lateral border of the foot and some reporting a spread to the posterior knee and thigh

The foot, ankle and calf symptoms are in the field of the sural nerve and this nerve is a likely source of the symptoms

In this sample there were some differences in the area of strongest responses, perhaps due to common variations in sural nerve anatomy

2 個解答

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  • 1 0 年前
    最佳解答

    在尋求改進腳踝錯位併發症與頑性阿基里斯腱等問題的臨床診查時,發現小腿腹神經及其分枝可能是病灶所在。

    小腿腹神經及其分枝受傷雖被認定是特別的神經性病變(參照第15章腳踝扭傷),但其病徵與腳踝扭傷相當類似。只要花個半分鐘就可測試完成。

    小腿腹神經通過 阿基里斯腱的側面,再下降到腳踝側面的下方。因此如果把腳踝作背向收屈且腳盤翻轉,就會對這些神經及其它的側面結構施壓。

    使用上述的dorsiflexion/eversion/SLR maneuvre作定位及扳弄,除了原先把整支腳直直抬起外翻改成內翻的操作。

    Molesworth於1992年 曾對30名年齡在18 ~30歲的自願者作腳踝的dorsiflexion/inversion+SLR,作到會覺的痛的限度,來測試一般的反應。一般會在小腿腹後面及腳踝的側後方引發症狀,有些會在腳側面邊緣有症狀反應,有些則延伸到後膝及大腿。

    腳盤,腳踝及小腿的症狀,正是小腿腹神經的區域,這些神經可能是症狀的來源所在。

    這些樣本中最強反應的區域各有些不同,可能是導因是於一般解剖學上小腿腹神經的差異。

    不確定的專有名詞

    surl nerve : 譯成小腿腹神經

    ankle "impingement" syndromes: 譯成腳踝錯位併發症

  • 1 0 年前

    被看作了有與踝「矛盾」綜合病徵執拗的阿基里斯腱問題的對patiients的,更好的臨床的訪問的檢索,是腓腹神經那個分枝可能的調味汁。

    新奇的神經障礙被看作(查閱第15「挫了的踝」章),不過,是踝扭傷完全看上去一般地只是,並且對這個神經的負傷,要實行試驗1分種的一半花費。

    腓腹神經是與一側部的腳脖子劣了的阿基里斯腱那時穿過橫(側),那個結果,如果踝dorsiflexed被做,腳反過來做這個,作為其他一側部的strutures把負荷放在神經海膽。

    使用,象dorsiflexion/外反/SLR操縱一樣的什麼的位置和對待,在上面做這個位置desoribed,能加上其次腳的a直的腳的提薪的翻開還倒不如反過來做。

    對對+痛苦na界限的踝dorsiflexion/逆SLR的通常的應答到30年根據18歲的30個自願參加者這個moruzuwasu(1992)試驗被做了。 以數人報告著腳一側部的境界的徵候,數人向後部的膝和桃子報告普及的狀態,徵候在posterion小牛和posterolateral踝領域被喚起了。

    腳,踝,和小牛徵候是在,並且腓腹神經的領域,這個神經快要有徵候的了起源。

    對於這個樣品,幾個差異最強的因為應答的領域有,恐怕腓腹神經解剖學一般的變化

    下面的網址它可幫你翻譯歐^^"

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