颈腰小关节源性疼痛的分布位置

Figure | Cervical and lumbar facet joint pain referral patterns [1] a | Distributions of pain referred from the cervical facet joints. b | Distributions of pain referred from the lumbar facet joints [2]. This is a composite map of lumbar facet joint pain referral locations from multiple studies [3-6]. The lumbar and low lumbar/gluteal regions are the most common locations of pain. Although not depicted here, referral of pain distal to the knee can also occur, but is relatively rare. 

图 | 颈腰椎小关节源性疼痛分布模式图

a | 颈椎小关节源性疼痛分布图。b | 腰椎小关节源性疼痛分布图。这是来自多项研究的腰椎小关节源性疼痛分布的综合图。腰部和臀部是最常见的疼痛部位。尽管此图未显示，但疼痛也可能发生在膝以下，但相对较少。

参考文献：

1. Gellhorn AC, Katz JN, Suri P. Osteoarthritis of the spine: the facet joints. Nat Rev Rheumatol. 2013;9(4):216-224. (PMID: 23147891) IF=16.625

2. Dwyer, A., Aprill, C. & Bogduk, N. Cervical zygapophyseal joint pain patterns. I: A study in normal volunteers. Spine (Phila Pa 1976) 15, 453–457 (1990).

3. Fukui, S. et al. Distribution of referred pain from the lumbar zygapophyseal joints and dorsal rami. Clin. J. Pain 13, 303–307 (1997).

4. Marks, R. Distribution of pain provoked from lumbar facet joints and related structures during diagnostic spinal infiltration. Pain 39, 37–40 (1989). 5. Mooney, V. & Robertson, J. The facet syndrome. Clin. Orthop. Relat. Res. 115, 149–156 (1976). 6. McCall, I. W., Park, W. M. & O’Brien, J. P. Induced pain referral from posterior lumbar elements in normal subjects. Spine (Phila Pa 1976) 4, 441–446 (1979).