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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">zdor</journal-id><journal-title-group><journal-title xml:lang="ru">Проблемы здоровья и экологии</journal-title><trans-title-group xml:lang="en"><trans-title>Health and Ecology Issues</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2220-0967</issn><issn pub-type="epub">2708-6011</issn><publisher><publisher-name>Gomel State Medical University</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.51523/2708-6011.2020-17-4-1</article-id><article-id custom-type="elpub" pub-id-type="custom">zdor-1858</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОРЫ И ЛЕКЦИИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS AND LECTURES</subject></subj-group></article-categories><title-group><article-title>Нейропатия верхних и средних ягодичных нервов: методические аспекты диагностических блокад</article-title><trans-title-group xml:lang="en"><trans-title>Neuropathy of the superior and middle cluneal nerves: methodological aspects of diagnostic blocks</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0808-183X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Юрковский</surname><given-names>А. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Yurkovskiy</surname><given-names>A. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Юрковский Алексей Михайлович — к.м.н., доцент кафедры внутренних болезней № 3 с курсом лучевой диагностики УО «Гомельский государственный медицинский университет».</p></bio><bio xml:lang="en"><p>Aliaxei М. Yurkovskiy — Candidate of Medical Science, Associate Professor, Associate Professor at the Departmentof Internal Medicine No.3 with the course of Radiodiagnostics of the EI «Gomel State Medical University»</p></bio><email xlink:type="simple">yurkovsky@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1086-1675</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Назаренко</surname><given-names>И. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Nazarenko</surname><given-names>I. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Назаренко Ирина Вячеславовна — к.м.н., ассистент кафедры внутренних болезней № 3 с курсом лучевойдиагностики УО «Гомельский государственный медицинский университет»</p></bio><bio xml:lang="en"><p>Irina V. Nazarenko — Candidate of Medical Science, Assistant Lecturer at the Department of Internal MedicineNo.3 with the course of Radiodiagnostics of the EI «Gomel State Medical University»</p></bio><email xlink:type="simple">irisha_n.91@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5352-1307</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Мельникова</surname><given-names>А. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Melnikova</surname><given-names>A. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Мельникова Анастасия Сергеевна — ассистент кафедры внутренних болезней № 3 с курсом лучевой диагностики УО «Гомельский государственный медицинский университет»</p></bio><bio xml:lang="en"><p>Anastasia S. Melnikova — Assistant Lecturer at the Department of Internal Medicine No.3 with the course of Radiodiagnostics of the EI «Gomel State Medical University»</p></bio><email xlink:type="simple">koziavochka1991@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>УО «Гомельский государственный медицинский университет»</institution></aff><aff xml:lang="en"><institution>Gomel State Medical University</institution></aff></aff-alternatives><pub-date pub-type="collection"><year>2020</year></pub-date><pub-date pub-type="epub"><day>28</day><month>12</month><year>2020</year></pub-date><volume>0</volume><issue>4</issue><elocation-id>5–11</elocation-id><permissions><copyright-statement>Copyright &amp;#x00A9; Юрковский А.М., Назаренко И.В., Мельникова А.С., 2020</copyright-statement><copyright-year>2020</copyright-year><copyright-holder xml:lang="ru">Юрковский А.М., Назаренко И.В., Мельникова А.С.</copyright-holder><copyright-holder xml:lang="en">Yurkovskiy A.M., Nazarenko I.V., Melnikova A.S.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://journal.gsmu.by/jour/article/view/1858">https://journal.gsmu.by/jour/article/view/1858</self-uri><abstract><sec><title>Цель исследования</title><p>Цель исследования: выбрать наиболее удобную для применения в широкой клинической практике методику диагностической блокады верхних и средних ягодичных нервов на основании анализа данных литературных источников.</p></sec><sec><title>Материал</title><p>Материал. Изучены и проанализированы оригинальные публикации, содержащие информацию об использовании диагностических блокад при нейропатии верхних и средних ягодичных нервов, депонированные в ресурсах PubMed и информационного портала eLIBRARY.RU.</p></sec><sec><title>Результаты</title><p>Результаты. Выделены наиболее важные аспекты, касающиеся возможностей применения диагностических блокад при нейропатии верхних и средних ягодичных нервов.</p></sec><sec><title>Заключение</title><p>Заключение. Выявлено разнообразие подходов к проведению блокад и оценке их результатов, а потому требуется разработка пошаговой методики проведения лечебно-диагностических блокад при нейропатии верхних и средних ягодичных нервов, удобной для применения в широкой клинической практике.</p></sec></abstract><trans-abstract xml:lang="en"><sec><title>Objective</title><p>Objective: on the basis of a literature review, to select the most convenient method of a diagnostic block of the superior and middle cluneal nerves that can be used in wide clinical practice.</p></sec><sec><title>Material</title><p>Material. Publications that are deposited in PubMed resources and information portal eLIBRARY.RU and contain information on the application of diagnostic blocks of the superior and middle cluneal nerves were studied and analyzed.</p></sec><sec><title>Results</title><p>Results. The most important aspects dealing with the prospects of the application of diagnostic blocks in neuropathy of the superior and middle cluneal nerves have been selected.</p></sec><sec><title>Conclusion</title><p>Conclusion. There is a variety of approaches to nerve block techniques and assessment of its results. Therefore, it is necessary to develop a step-by-step method for conducting diagnostic and therapeutic blocks in neuropathy of the superior and middle cluneal nerves that is convenient for use in wide clinical practice.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>блокада верхнего и среднего ягодичных нервов</kwd><kwd>синдром боли в нижней части спины</kwd><kwd>ультразвуковое исследование</kwd></kwd-group><kwd-group xml:lang="en"><kwd>block of the superior and middle cluneal nerves</kwd><kwd>lower back pain syndrome</kwd><kwd>ultrasound examination</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Kim K, Isu T, Morimoto D, Iwamoto N, Kokubo R, Mtsumoto J, Kitamura T, Sugawara A, Morita A. Common diseases mimicking lumbar disc herniation and the irtreatment. Mini-invasive Surg. 2017;1:43-51. doi: 10.20517/2574-1225.2017.05</mixed-citation><mixed-citation xml:lang="en">Kim K, Isu T, Morimoto D, Iwamoto N, Kokubo R, Mtsumoto J, Kitamura T, Sugawara A, Morita A. Common diseases mimicking lumbar disc herniation and the irtreatment. Mini-invasive Surg. 2017;1:43-51. doi: 10.20517/2574-1225.2017.05</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Chiba Y, Isu T, Kim K, Iwamoto N, Morimoto D, Yamazaki K, Hokari M, Isobe M, Kusano M. Association between intermittent low-back pain and superior cluneal nerve entrapment neuropathy. J Neurosurg Spine. 2016;24(2):263-67. doi: 10.3171/2015.1SPINE14173</mixed-citation><mixed-citation xml:lang="en">Chiba Y, Isu T, Kim K, Iwamoto N, Morimoto D, Yamazaki K, Hokari M, Isobe M, Kusano M. Association between intermittent low-back pain and superior cluneal nerve entrapment neuropathy. J Neurosurg Spine. 2016;24(2):263-67. doi: 10.3171/2015.1.SPINE14173</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Miki K, Kim K, Isu T, Matsumoto J, Kokubo R, Isobe M, Inoue T. Characteristics of low back pain due to superior cluneal nerve entrapment neuropathy. Asian Spine J. 2019 May 14;13(5):772-78. doi: 10.31616/asj.2018.0324</mixed-citation><mixed-citation xml:lang="en">Miki K, Kim K, Isu T, Matsumoto J, Kokubo R, Isobe M, Inoue T. Characteristics of low back pain due to superior cluneal nerve entrapment neuropathy. Asian Spine J. 2019 May 14;13(5):772-78. doi: 10.31616/asj.2018.0324</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Aota Y. Entrapment of middle cluneal nerves as an unknown cause of low back pain. World J Orthop. 2016 Mar 18;7(3):167-70. doi: 10.5312/wjo.v7.i3.167</mixed-citation><mixed-citation xml:lang="en">Aota Y. Entrapment of middle cluneal nerves as an unknown cause of low back pain. World J Orthop. 2016 Mar 18;7(3):167-70. doi: 10.5312/wjo.v7.i3.167</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Matsumoto J, Isu T, Kim K, Miki K, Fujihara F, Isobe M. Middle cluneal nerve entrapment mimics sacroiliac joint pain. Acta Neurochir (Wien). 2019; 161(4):657-61. doi: 10.1007/s00701-019-03861-0</mixed-citation><mixed-citation xml:lang="en">Matsumoto J, Isu T, Kim K, Miki K, Fujihara F, Isobe M. Middle cluneal nerve entrapment mimics sacroiliac joint pain. Acta Neurochir (Wien). 2019; 161(4):657-61. doi: 10.1007/s00701-019-03861-0</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Kim K, Isu T, Matsumoto J, Yamazaki K, Isobe M. Low back pain due to middle cluneal nerve entrapment neuropathy. Eur Spine J. 2018;27(3):309-13. doi: 10.1007/s00586-017-5208-2</mixed-citation><mixed-citation xml:lang="en">Kim K, Isu T, Matsumoto J, Yamazaki K, Isobe M. Low back pain due to middle cluneal nerve entrapment neuropathy. Eur Spine J. 2018;27(3):309-13. doi: 10.1007/s00586-017-5208-2</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Nielsen TD, Moriggl B, Barckman J, Jensen JM, Kolsen-Petersen JA, Søballe K, Børglum J, Bendtsen TF. Randomized trial of ultrasoundguided superior cluneal nerve block. Reg Anesth Pain Med. 2019. pii: rapm-2018-100174. doi: 10.1136/rapm-2018-100174</mixed-citation><mixed-citation xml:lang="en">Nielsen TD, Moriggl B, Barckman J, Jensen JM, Kolsen-Petersen JA, Søballe K, Børglum J, Bendtsen TF. Randomized trial of ultrasoundguided superior cluneal nerve block. Reg Anesth Pain Med. pii: rapm-2018-100174. doi: 10.1136/rapm-2018-100174</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Nielsen TD, Moriggl B, Barckman J, Jensen JM, Kølsen-Petersen JA, Søballe K, Børglum J, Bendtsen TF. Cutaneous anaesthesia of hip surgery incisions with iliohypogastric and subcostal nerve blockade: a randomised trial. Acta Anaesthesiol Scand. 2019;63(1):101-10. doi: 10.1111/aas.13221</mixed-citation><mixed-citation xml:lang="en">Nielsen TD, Moriggl B, Barckman J, Jensen JM, Kølsen-Petersen JA, Søballe K, Børglum J, Bendtsen TF. Cutaneous anaesthesia of hip surgery incisions with iliohypogastric and subcostal nerve blockade: a randomised trial. Acta Anaesthesiol Scand. 2019;63(1):101-10. doi: 10.1111/aas.13221</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Юрковский АМ, Назаренко ИВ, Ачинович СЛ. Результаты диагностической блокады в области задней длинной крестцово-подвздошной связки под сонографическим контролем при синдроме боли в нижней части спины. Журн. Гродн. Гос. Мед. Ун-та. 2017;15(5):516-20. doi: 10.25298/2221-8785-2017-15-5-516-520</mixed-citation><mixed-citation xml:lang="en">Yurkovskij AM, Nazarenko IV, Achinovich SL. Rezul` taty` diagnosticheskoj blokady` v oblasti zadnej dlinnoj krestczovo-podvzdoshnoj svyazki pod sonograficheskim kontrolem pri sindrome boli v nizhnej chasti spiny`. Zhurn. Grodn. Gos. Med. Un-ta. 2017;15(5):516-20. doi: 10.25298/2221-8785-2017-15-5-516-520 (in Russ.)</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Iwamoto N, Isu T, Kim K, Chiba Y, Kokubo R, Morimoto D, Shirai S, Yamazaki K, Isobe M. Low back pain caused by superior cluneal nerve entrapment neuropathy in patients with parkinson disease. World Neurosurg. 2016;87:250-54. doi: 10.1016/j.wneu.2015.11.043</mixed-citation><mixed-citation xml:lang="en">Iwamoto N, Isu T, Kim K, Chiba Y, Kokubo R, Morimoto D, Shirai S, Yamazaki K, Isobe M. Low back pain caused by superior cluneal nerve entrapment neuropathy in patients with parkinson disease. World Neurosurg. 2016;87:250-54. doi: 10.1016/j.wneu.2015.11.043</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Konno T, Aota Y, Saito T, Qu N, Hayashi S, Kawata S, Itoh M. Anatomical study of middle cluneal nerve entrapment. J Pain Res. 2017;10:1431-35. doi: 10.2147/JPR.S135382</mixed-citation><mixed-citation xml:lang="en">Konno T, Aota Y, Saito T, Qu N, Hayashi S, Kawata S, Itoh M. Anatomical study of middle cluneal nerve entrapment. J Pain Res. 2017;10:1431-35. doi: 10.2147/JPR.S135382</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Bodner G, Platzgummer H, Meng S, Brugger PC, Gruber GM, Lieba-Samal D. Successful identification and assessment of the superior cluneal nerves with high-resolution sonography. Pain Physician. 2016;19(3):197-202</mixed-citation><mixed-citation xml:lang="en">Bodner G, Platzgummer H, Meng S, Brugger PC, Gruber GM, Lieba-Samal D. Successful identification and assessment of the superior cluneal nerves with high-resolution sonography. Pain Physician. 2016;19(3):197-202</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Юрковский АМ, Назаренко ИВ, Ачинович СЛ. Диагностическая блокада под сонографическим контролем при пояснично-крестцовых лигаментозах. Проблемы Здоровья и Экологии. 2020; 64(2):57-63.</mixed-citation><mixed-citation xml:lang="en">Yurkovskij AM, Nazarenko IV, Achinovich SL. Diagnosticheskaya blokada pod sonograficheskim kontrolem pri poyasnichno-krestczovy`x ligamentozax. Problemy Zdorov'ya i Ekologii. 2020;64(2):57-63. (in Russ.)</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Юрковский АМ, Аникеев ОИ, Ачинович СЛ. Сонография задних крестцово-подвздошных связок: топографо-анатомические и методические аспекты. Журн. Гродн. Гос. Мед. Ун-та. 2014; 47(3):12-16.</mixed-citation><mixed-citation xml:lang="en">Yurkovskij AM, Anikeev OI, Achinovich SL. Sonografiya zadnix krestczovo-podvzdoshny`x svyazok: topografo-anatomicheskie i metodicheskie aspekty`. Zhurn. Grodn. Gos. Med. Un-ta. 2014;47(3):12-16. (in Russ.)</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Kikuta S, Iwanaga J, Watanabe K, Tubbs RS. Revisiting the middle cluneal nerves: an anatomic study with application to pain syndromes and invasive procedures around the sacrum. World Neurosurg. 2019;127:e1228-e1231. doi: 10.1016/j.wneu.2019.04.109</mixed-citation><mixed-citation xml:lang="en">Kikuta S, Iwanaga J, Watanabe K, Tubbs RS. Revisiting the middle cluneal nerves: an anatomic study with application to pain syndromes and invasive procedures around the sacrum. World Neurosurg. 2019;127:e1228-e1231. doi: 10.1016/j.wneu.2019.04.109</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Iwanaga J, Simonds E, Schumacher M, Yilmaz E, Altafulla J, Tubbs RS. Anatomic study of the superior cluneal nerve and its related groove on the iliac crest. World Neurosurg. 2019;125:e925-e928. doi: 10.1016/j.wneu.2019.01.210</mixed-citation><mixed-citation xml:lang="en">Iwanaga J, Simonds E, Schumacher M, Yilmaz E, Altafulla J, Tubbs RS. Anatomic study of the superior cluneal nerve and its related groove on the iliac crest. World Neurosurg. 2019;125:e925-e928. doi: 10.1016/j.wneu.2019.01.210</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Konno T, Aota Y, Saito T, Qu N, Hayashi S, Kawata S, Itoh M. Anatomical study of middle cluneal nerve entrapment. J Pain Res. 2017;10:1431-35. doi: 10.2147/JPR.S135382</mixed-citation><mixed-citation xml:lang="en">Konno T, Aota Y, Saito T, Qu N, Hayashi S, Kawata S, Itoh M. Anatomical study of middle cluneal nerve entrapment. J Pain Res. 2017;10:1431-35. doi: 10.2147/JPR.S135382</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Loubser L, Raath RP, Van Schoor AN. Clinical anatomy of the superior cluneal nerve in relation to easily identifiable bony landmarks. Southern African J Anaesthesia Analgesia. 2015;21(3):77-80. doi: 10.1080/22201181.2015. 1054612</mixed-citation><mixed-citation xml:lang="en">Loubser L, Raath RP, Van Schoor AN. Clinical anatomy of the superior cluneal nerve in relation to easily identifiable bony landmarks. Southern African J Anaesthesia Analgesia. 2015;21(3):77-80. doi: 10.1080/22201181.2015.1054612</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Talu GK, Ozyalçin S, Talu U. Superior cluneal nerve entrapment. Reg Anesth Pain Med. 2000; 25(6):648-50.</mixed-citation><mixed-citation xml:lang="en">Talu GK, Ozyalçin S, Talu U. Superior cluneal nerve entrapment. Reg Anesth Pain Med. 2000;25(6):648-50.</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Ermis MN, Yildirim D, Durakbasa MO, Tamam C, Ermis OE. Medial superior cluneal nerve entrapment neuropathy in military personnel; diagnosis and etiologic factors. J Back Musculoskelet Rehabil. 2011;24(3):137-44. doi: 10.3233/BMR-2011-0287</mixed-citation><mixed-citation xml:lang="en">Ermis MN, Yildirim D, Durakbasa MO, Tamam C, Ermis OE. Medial superior cluneal nerve entrapment neuropathy in military personnel; diagnosis and etiologic factors. J Back Musculoskelet Rehabil. 2011;24(3):137-44. doi: 10.3233/BMR-2011-0287</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
