Shoulder girdle and upper extremity pain

Introduction Scapular and upper extremity pain is one of the main symptoms of primary brachial plexus or brachial plexus. Brachial plexus neuralgia refers to a disease in which the parts of the brachial plexus, which are composed of the anterior branch of the nerves of the neck 5 to the chest 1, are damaged, causing pain within the range of their control. Brachial plexus neuralgia can be divided into primary and secondary types, the latter are more common. The cause of primary brachial plexus neuralgia is unknown. It may be an allergic disease. Occasionally, familial cases are seen in mild trauma, injection, vaccination, and mild systemic infection.

Cause

Brachial plexus neuralgia can be divided into primary and secondary types, the latter are more common. The cause of primary brachial plexus neuralgia is unknown. It may be an allergic disease. Occasionally, familial cases are seen in mild trauma, injection, vaccination, and mild systemic infection. Secondary brachial plexus neuralgia brachial plexus adjacent to lesion compression, that is, nerve root compression (cervical spondylosis, disc herniation, tuberculosis, tumor, fracture, dislocation, cervical spinal cord tumor and arachnoiditis, etc.) and nerve trunk compression (thoracic outlet synthesis) Sign, cervical rib or neck tumor, axillary lymph node enlargement (metastatic cancer), clavicular fracture, lung sulcus tumor. According to the lesion site, it can be divided into root brachial plexus neuralgia and dry brachial plexus neuralgia. The causes of root brachial plexus neuralgia include cervical lesions, cervical spinal cord tumors, and epidural metastatic cancer. The causes of dry brachial plexus neuralgia include neck and chest exit zone syndrome, brachial plexus neuritis, neck tumor, trauma, tuberculosis, and apical tumor of the lung.

an examination

Related inspection

Electromyogram

1, according to its clinical manifestations, nervous system examination selective shoulder joint, cervical X-ray film, cerebrospinal fluid test, EMG, upper limb blood flow chart, nerve conduction velocity, cervical CT or MRI examination. Diagnosis and treatment.

2, four diagnoses of Chinese medicine: syndrome: upper limbs weakness, muscle atrophy, flat body physique, less food, less gas lazy words, face color, pale tongue, thin white fur, weak pulse.

Differential diagnosis

Intercostal shoulder strap pain: Disc herniation can squeeze the spinal nerve roots at the exit of the root canal nerve causing pain in the intercostal shoulder strap. Intercostal scapular pain is a clinical manifestation of thoracic disc herniation.

Scapula pain: The scapula is also called the tibia and fibula. Located behind the thorax, it is a triangular flat bone between the 2nd to 7th ribs. Scapular soreness is caused by long-term deformation of the muscles. It may also be caused by chronic muscle inflammation due to a long-term posture.

Scapular radioactive pain: Radiation pain: the pain is radioactive, and conductive pain will be released from the proximal end of the limb (near the heart side) to the telecentric end, just like a string of inductance. This means that the lesion does not occur in the limb itself, but in the spinal cord of the neck, chest, or lumbar or at a large nerve center or nerve trunk. Radiation pain in the upper extremities indicates a lesion in the neck or shoulder of the nerve plexus.

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