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Volume: 32  Issue: 3  Year: 2020
 

Attention: These articles have been accepted for publication; however, this list does not indicate the order in which articles will be published. As new articles are accepted, the order displayed here will change.

Superior cluneal nerve entrapment neuropathy due to lower crossed syndrome: A case with low back pain [Ağrı]
Ağrı. 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 Koçak2, Emine Eda Kurt3, Figen Tuncay2
1Department Of Physical Medicine and Rehabilitation, Yüksek İhtisas University Faculty of Medicine, Ankara, Turkey
2Department Of Physical Medicine and Rehabilitation, Kırşehir Ahi Evran University Faculty of Medicine, Kırşehir, 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 çapraz sendroma bağlı superior kluneal sinir tuzaklanma nöropatisi: Bel ağrılı bir olgu sunumu

Hatice Rana Erdem1, Fatmanur Aybala Koçak2, Emine Eda Kurt3, Figen Tuncay2
1Yüksek İhtisas Üniversitesi Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Ankara, Türkiye
2Kırşehir Ahi Evran Üniversitesi Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Kırşehir, Türkiye
3Alanya Alaaddin Keykubat Üniversitesi Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Alanya-Antalya, Türkiye

Superior kluneal sinir (SKS), alt torasik ve lomber sinir köklerinin dorsal ramusundan köken alan bir duyusal sinirdir. Bel ağrısının gözden kaçan nedenlerinden biri SKS Tuzaklanma Nöropatisidir (SKSTN). SKSTN, bel hareketleri ve paravertabral kas tonus artışı sebebiyle oluşan kötü vücut postürüne bağlı SKS gerilmesi ile de ilişkilendirilebilir. 59 yaşında bayan hasta sağ iliak kreste lokalize olan ve sağ kalça, kasık ve bacağa yayılan kronik bel ağrısı ile başvurdu. Hastanın lomber lordozu artmıştı ve anterior pelvik tilti mevcuttu. Sağ iliak krest üzerinde hassas nokta vardı ve ağrı kalça ve posterolateral uyluğa yayılıyordu (Tinel bulgusu +). Hastaya alt çapraz sendrom ve SKSTN tanısı kondu ve terapötik sinir bloğu yapıldı. Klinisyenler bel ağrısı tanısında SKSTN' yi göz önünde bulundurmalıdırlar.

Anahtar Kelimeler: Bel ağrısı, superior kluneal sinir tuzaklanma nöropatisi, alt çapraz sendrom, superior kluneal sinir bloğu




Corresponding Author: Fatmanur Aybala Koçak, Türkiye


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