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The psoas muscle as cause of low back pain in infantile cerebral palsy

机译:腰大肌引起小儿脑瘫的下腰痛

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摘要

Psoas muscle spasticity is hypothesised as a rare cause of low back pain in patients with infantile cerebral palsy. The authors describe a new manoeuvre for the study of psoas tenderness and ultrasound (US)-guided transab-dominal botulinum toxin injection technique. A possible causal relationship between psoas tension and low back pain was found incidentally in two examined cases. In subsequent patients, botulinum toxin was injected and, in cases of disappearance of symptoms, the psoas tendon was sectioned at the pelvic brim with definitive disappearance of pain. The relationship between psoas tension and low back pain in patients with infantile cerebral palsy seems likely, given the result in the four patients.
机译:腰肌痉挛被认为是婴儿脑瘫患者下腰痛的罕见原因。作者描述了一项新的策略,用于研究腰肌压痛和超声(US)引导的经腹-腹部肉毒杆菌毒素注射技术。在两个检查的病例中偶然发现了腰肌张力与下背部疼痛之间的可能因果关系。在随后的患者中,注射肉毒杆菌毒素,并且在症状消失的情况下,将腰肌腱切成盆骨边缘,并明确消除疼痛。鉴于四名患者的结果,婴儿脑瘫患者的腰肌张力与腰痛之间的关系似乎很可能。

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