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

ISSN : 1300-0012 E-ISSN 2458-9446

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Volume: 33 Issue: 4 Year: 2020

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Superior cluneal nerve entrapment neuropathy due to lower crossed syndrome: A case with low back pain [A�r�]

A�r�. Ahead of Print: AGRI-21703 | DOI: 10.14744/agri.2020.21703

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

Hatice Rana Erdem¹, Fatmanur Aybala Ko�ak², Emine Eda Kurt³, Figen Tuncay²
¹Department Of Physical Medicine and Rehabilitation, Y�ksek �htisas University Faculty of Medicine, Ankara, Turkey
²Department Of Physical Medicine and Rehabilitation, K�r�ehir Ahi Evran University Faculty of Medicine, K�r�ehir, Turkey
³Department Of Physical Medicine and Rehabilitation, Alanya Alaaddin Keykubat University Faculty of Medicine, Alanya-Antalya, Turkey

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 associ�ated with SCN stretching due to lumbar movement and the poor body posture via an increase in the paravertebral muscle to�nus. 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.

Keywords: Low back pain, superior cluneal nerve entrapment neuropathy, lower crossed syndrome, superior cluneal nerve block.

Alt �apraz sendroma ba�l� superior kluneal sinir tuzaklanma n�ropatisi: Bel a�r�l� bir olgu sunumu

Hatice Rana Erdem¹, Fatmanur Aybala Ko�ak², Emine Eda Kurt³, Figen Tuncay²
¹Y�ksek �htisas �niversitesi T�p Fak�ltesi, Fiziksel T�p ve Rehabilitasyon Anabilim Dal�, Ankara, T�rkiye
²K�r�ehir Ahi Evran �niversitesi T�p Fak�ltesi, Fiziksel T�p ve Rehabilitasyon Anabilim Dal�, K�r�ehir, T�rkiye
³Alanya Alaaddin Keykubat �niversitesi T�p Fak�ltesi, Fiziksel T�p ve Rehabilitasyon Anabilim Dal�, Alanya-Antalya, T�rkiye

Superior kluneal sinir (SKS), alt torasik ve lomber sinir k�klerinin dorsal ramusundan k�ken alan bir duyusal sinirdir. Bel a�r�s�n�n g�zden ka�an nedenlerinden biri SKS Tuzaklanma N�ropatisidir (SKSTN). SKSTN, bel hareketleri ve paravertabral kas tonus art�� sebebiyle olu�an k�t� v�cut post�r�ne ba�l� SKS gerilmesi ile de ili�kilendirilebilir. 59 ya��nda bayan hasta sa� iliak kreste lokalize olan ve sa� kal�a, kas�k ve baca�a yay�lan kronik bel a�r�s� ile ba�vurdu. Hastan�n lomber lordozu artm��t� ve anterior pelvik tilti mevcuttu. Sa� iliak krest �zerinde hassas nokta vard� ve a�r� kal�a ve posterolateral uylu�a yay�l�yordu (Tinel bulgusu +). Hastaya alt �apraz sendrom ve SKSTN tan�s� kondu ve terap�tik sinir blo�u yap�ld�. Klinisyenler bel a�r�s� tan�s�nda SKSTN' yi g�z �n�nde bulundurmal�d�rlar.

Anahtar Kelimeler: Bel a�r�s�, superior kluneal sinir tuzaklanma n�ropatisi, alt �apraz sendrom, superior kluneal sinir blo�u

Corresponding Author: Fatmanur Aybala Ko�ak, T�rkiye

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