当前概念回顾：放射性神经丛病。

IF 2.1 2区医学 Q2 ORTHOPEDICS

Journal of Hand Surgery-American Volume Pub Date : 2025-02-01 DOI:10.1016/j.jhsa.2024.09.026

Adam Mosa MD, MSc , David M. Brogan MD, MSc , Christopher J. Dy MD, MPH

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引用次数: 0

摘要

放射性诱发的臂丛神经病是由于神经丛周围进行性纤维化或脱髓鞘的直接神经损伤而延迟出现的一系列症状。症状通常在放疗后数月至数年内延迟出现。患者可能会出现神经性疼痛、乏力或肢体功能障碍，并伴有发病率和生活质量下降。已报道的手术干预包括神经丛神经切除术、神经转移术和血管化游离组织转移术。在这篇综述中，我们旨在向执业手外科医生介绍辐射诱发臂丛神经病文献的最新进展和分析。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Radiation Plexopathy

Radiation induced brachial plexopathy represents a constellation of symptoms that present in a delayed manner because of peri-plexus progressive fibrosis or direct neural injury with demyelination. Symptom onset is typically delayed months to years after radiotherapy. Patients may report neuropathic pain, weakness, or extremity dysfunction associated with morbidity and diminished quality of life. Reported surgical interventions include plexus neurolysis, nerve transfers, and vascularized free tissue transfer. In this review, we aim to present the practicing hand surgeon with an update and analysis on the current state of the radiation induced brachial plexopathy literature.

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来源期刊

Journal of Hand Surgery-American Volume 医学-外科

CiteScore

3.20

自引率

10.50%

发文量

402

审稿时长

12 weeks

期刊介绍： The Journal of Hand Surgery publishes original, peer-reviewed articles related to the pathophysiology, diagnosis, and treatment of diseases and conditions of the upper extremity; these include both clinical and basic science studies, along with case reports. Special features include Review Articles (including Current Concepts and The Hand Surgery Landscape), Reviews of Books and Media, and Letters to the Editor.