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

TUNCAY, FİGEN; Erdem, Hatice Rana; Koçak, Fatmanur Aybala; Kurt, Emine Eda

doi:10.14744/agri.2020.21703

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

Hatice Rana ERDEM, (Yüksek İhtisas Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Ankara, Türkiye)

Fatmanur Aybala KOÇAK, (Kırşehir Ahi Evran Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Kırşehir, Türkiye)

Emine Eda KURT, (Alanya Alaaddin Keykubat Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Antalya, Türkiye)

Figen TUNCAY (Kırşehir Ahi Evran Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Kırşehir, Türkiye)

Ağrı

4 3

Yıl: 2022 Cilt: 34 Sayı: 4 Sayfa Aralığı: 311 - 315 Metin Dili: İngilizce DOI: 10.14744/agri.2020.21703 İndeks Tarihi: 18-05-2023

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

Öz:

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 associated with SCN stretching due to lumbar movement and the poor body posture through an increase in the paravertebral muscle tonus. 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.

Anahtar Kelime:

Alt çapraz sendroma bağlı superior kluneal sinir tuzaklanma nöropatisi: Bel ağrılı bir olgu sunumu

Öz:

Süperior 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. SKS tuzaklanma nöropatisi, bel hareketleri ve paravertebral kas tonus artışı sebebiyle oluşan kötü vücut postürüne bağlı SKS gerilmesi ile de ilişkilendirilebilir. Elli dokuz yaşında kadın hasta sağ iliyak kreste lokalize olan ve sağ kalça, kasık ve bacağa yayılan kronik bel ağrısıyla başvurdu. Hastanın lomber lordozu artmıştı ve anterior pelvik tilti mevcuttu. Sağ iliyak krest üzerinde hassas nokta vardı ve ağrı kalça ve posterolateral uyluğa yayılıyordu (tinel bulgusu +). Hastaya alt çapraz sendrom ve SKS tuzaklanma nöropatisi tanısı konuldu ve terapötik sinir bloku yapıldı. Klinisyenler bel ağrısı tanısında SKS tuzaklanma nöropatisini göz önünde bulundurmalıdırlar

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık

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APA	Erdem H, Koçak F, Kurt E, TUNCAY F (2022). Superior cluneal nerve entrapment neuropathy due to lower crossed syndrome: A case with low back pain. , 311 - 315. 10.14744/agri.2020.21703
Chicago	Erdem Hatice Rana,Koçak Fatmanur Aybala,Kurt Emine Eda,TUNCAY FİGEN Superior cluneal nerve entrapment neuropathy due to lower crossed syndrome: A case with low back pain. (2022): 311 - 315. 10.14744/agri.2020.21703
MLA	Erdem Hatice Rana,Koçak Fatmanur Aybala,Kurt Emine Eda,TUNCAY FİGEN Superior cluneal nerve entrapment neuropathy due to lower crossed syndrome: A case with low back pain. , 2022, ss.311 - 315. 10.14744/agri.2020.21703
AMA	Erdem H,Koçak F,Kurt E,TUNCAY F Superior cluneal nerve entrapment neuropathy due to lower crossed syndrome: A case with low back pain. . 2022; 311 - 315. 10.14744/agri.2020.21703
Vancouver	Erdem H,Koçak F,Kurt E,TUNCAY F Superior cluneal nerve entrapment neuropathy due to lower crossed syndrome: A case with low back pain. . 2022; 311 - 315. 10.14744/agri.2020.21703
IEEE	Erdem H,Koçak F,Kurt E,TUNCAY F "Superior cluneal nerve entrapment neuropathy due to lower crossed syndrome: A case with low back pain." , ss.311 - 315, 2022. 10.14744/agri.2020.21703
ISNAD	Erdem, Hatice Rana vd. "Superior cluneal nerve entrapment neuropathy due to lower crossed syndrome: A case with low back pain". (2022), 311-315. https://doi.org/10.14744/agri.2020.21703

APA	Erdem H, Koçak F, Kurt E, TUNCAY F (2022). Superior cluneal nerve entrapment neuropathy due to lower crossed syndrome: A case with low back pain. Ağrı, 34(4), 311 - 315. 10.14744/agri.2020.21703
Chicago	Erdem Hatice Rana,Koçak Fatmanur Aybala,Kurt Emine Eda,TUNCAY FİGEN Superior cluneal nerve entrapment neuropathy due to lower crossed syndrome: A case with low back pain. Ağrı 34, no.4 (2022): 311 - 315. 10.14744/agri.2020.21703
MLA	Erdem Hatice Rana,Koçak Fatmanur Aybala,Kurt Emine Eda,TUNCAY FİGEN Superior cluneal nerve entrapment neuropathy due to lower crossed syndrome: A case with low back pain. Ağrı, vol.34, no.4, 2022, ss.311 - 315. 10.14744/agri.2020.21703
AMA	Erdem H,Koçak F,Kurt E,TUNCAY F Superior cluneal nerve entrapment neuropathy due to lower crossed syndrome: A case with low back pain. Ağrı. 2022; 34(4): 311 - 315. 10.14744/agri.2020.21703
Vancouver	Erdem H,Koçak F,Kurt E,TUNCAY F Superior cluneal nerve entrapment neuropathy due to lower crossed syndrome: A case with low back pain. Ağrı. 2022; 34(4): 311 - 315. 10.14744/agri.2020.21703
IEEE	Erdem H,Koçak F,Kurt E,TUNCAY F "Superior cluneal nerve entrapment neuropathy due to lower crossed syndrome: A case with low back pain." Ağrı, 34, ss.311 - 315, 2022. 10.14744/agri.2020.21703
ISNAD	Erdem, Hatice Rana vd. "Superior cluneal nerve entrapment neuropathy due to lower crossed syndrome: A case with low back pain". Ağrı 34/4 (2022), 311-315. https://doi.org/10.14744/agri.2020.21703