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https://read.qxmd.com/read/38453022/current-concepts-of-surgical-approach-for-radial-nerve-entrapment-around-the-elbow
#1
JOURNAL ARTICLE
Biagio Abate, Andrea Cozzolino, Luigi Angelo Pederzini, Andrea Celli
Radial nerve entrapment is an uncommon diagnosis. The entrapment can occur at any location within the course of the nerve distribution, but the most frequent location of entrapment occurs around the elbow and involves the posterior interosseous nerve. Several potential sites of radial nerve entrapment around the elbow are identified: the capsular tissue of the radiocapitellar joint; hypertrophic crossing branches of leash of henry; the leading proximal tendinous and medial edge of ECRB; the arcade of Frohse and distal border of the supinator between its two heads...
March 5, 2024: Journal of ISAKOS
https://read.qxmd.com/read/38342235/nerve-entrapment-complicating-neurogenic-thoracic-outlet-syndrome-surgery-a-10-year-retrospective-study
#2
JOURNAL ARTICLE
Alban Fouasson-Chailloux, Michel Merle, Christophe Duysens, Andréa Falcone, Pauline Daley, Germain Pomares, Thomas Jager
Neurogenic thoracic outlet syndrome results from compression of the brachial plexus. The symptoms are mainly pain, upper-limb weakness and paresthesia. Management always starts with a rehabilitation program, but failure of rehabilitation may necessitate surgery. In practice, we observed that several patients developed secondary distal nerve entrapment in the months following surgery, with no preoperative compression. We aimed to assess the occurrence of distal nerve entrapment after surgery for neurogenic thoracic outlet syndrome in a retrospective cohort study...
February 9, 2024: Hand Surgery and Rehabilitation
https://read.qxmd.com/read/38312930/measuring-tactile-sensitivity-and-mixed-reality-assisted-exercise-for-carpal-tunnel-syndrome-by-ultrasound-mid-air-haptics
#3
JOURNAL ARTICLE
Mehmet Akif Akdağ, Ahmet Kıvanç Menekşeoğlu, Hatice Seğmen, Berk Gözek, Merve Damla Korkmaz, Burak Güçlü
INTRODUCTION: Carpal tunnel syndrome (CTS) is the most common nerve entrapment neuropathy, which causes numbness and pain in the thumb, the index and middle fingers and the radial side of the ring finger. Regular hand exercises may improve the symptoms and prevent carpal tunnel surgery. This study applied a novel ultrasonic stimulation method to test tactile sensitivity in CTS and also a mixed-reality-assisted (MR-assisted) exercise program which measured hand movements and provided haptic feedback for rehabilitation...
2024: Frontiers in Neuroscience
https://read.qxmd.com/read/38159865/causes-symptoms-and-treatments-of-nerve-entrapments-around-the-elbow-current-concepts
#4
JOURNAL ARTICLE
Andrea Celli, Angelo De Crescenzo, Biagio Abate, Luigi Angelo Pederzini
The elbow is a joint extremely susceptible to stiffness, even after a trivial trauma. As for other joints, several factors can generate stiffness such as immobilization, joint incongruity, heterotopic ossification, adhesions or pain. Prolonged joint immobilization, pursued to assure bony and ligamentous healing, represents the most acknowledged risk factor for joint stiffness. The elbow is a common site of nerve entrapment syndromes. The reasons are multifactorial but peculiar elbow anatomy and biomechanics play a role...
December 28, 2023: Journal of ISAKOS
https://read.qxmd.com/read/38136064/management-of-traumatic-nerve-palsies-in-paediatric-supracondylar-humerus-fractures-a-systematic-review
#5
REVIEW
Christy Graff, George Dennis Dounas, Maya Rani Louise Chandra Todd, Jonghoo Sung, Medhir Kumawat
Purpose: Up to 12% of paediatric supracondylar humerus fractures (SCHFs) have an associated traumatic nerve injury. This review aims to summarize the evidence and guide clinicians regarding the timing of investigations and/or surgical interventions for traumatic nerve palsies after this injury. Methods: A formal systematic review was undertaken in accordance with the Joanna Briggs Institute (JBI) methodology for systematic reviews and PRISMA guidelines. Manuscripts were reviewed by independent reviewers against the inclusion and exclusion criteria, and data extraction, synthesis, and assessment for methodological quality were undertaken...
November 27, 2023: Children
https://read.qxmd.com/read/38109045/problems-with-medium-sized-joints-elbow-conditions
#6
JOURNAL ARTICLE
Calli Fry, Elizabeth T Nguyen, Stephen Line, Laura Marsh
For patients with elbow pain, a comprehensive history and physical examination can identify the mechanism of injury and specific tests can help determine the underlying pathology. When imaging is indicated, x-ray typically is the initial modality. Indications for ultrasonography include the need for static, dynamic, and stress visualization of elbow cartilage, tendons, ligaments, and osseous structures. Magnetic resonance imaging study is preferred for assessment of chronic elbow pain because of its ability to detect bone marrow edema, tendinopathy, nerve entrapment, and joint effusion...
December 2023: FP Essentials
https://read.qxmd.com/read/38073414/causes-of-iatrogenic-median-nerve-injury-after-endoscopic-carpal-tunnel-release
#7
JOURNAL ARTICLE
Keiichi Muramatsu, Yasuhiro Tani, Yosuke Yamashita, Fidelis Marie Corpus-Zuñiga, Hideaki Sugimoto, Lou Mervyn Tec
Background: Endoscopic carpal tunnel release (ECTR) is a less invasive procedure but has a higher risk of complications. We analysed ECTR cases dividing them into three periods according to a single surgeon's experience when the ECTR was performed: the initial, midterm and late period. Cases of iatrogenically induced median nerve injuries that occurred after ECTR were then noted and evaluated. Methods: We reviewed 195 ECTRs done with the 2-portal technique and divided the patients into three groups according to periods of when ECTR was done...
December 5, 2023: Journal of Hand Surgery Asian-Pacific Volume
https://read.qxmd.com/read/37986263/sciatic-neurotmesis-and-periostitis-ossificans-progressiva-due-to-a-traumatic-unexpected-glass-injury-a-case-report
#8
Berkay Yalçınkaya, Hasan Ocak, Ahmet Furkan Çolak, Levent Özçakar
Peripheral nerves may be affected or injured for several reasons. Peripheral nerve damage can result from trauma, surgery, anatomical abnormalities, entrapment, systemic diseases, or iatrogenic injuries. Trauma and iatrogenic injuries are the most common causes. The ulnar, median, and radial nerves are the most injured nerves in the upper extremities, while the sciatic and peroneal nerves are the most injured nerves in the lower extremities. The clinical symptoms of peripheral nerve damage include pain, weakness, numbness/tingling, and paresthesia...
November 21, 2023: J Yeungnam Med Sci
https://read.qxmd.com/read/37900228/treatment-of-posterior-interosseous-nerve-entrapment-syndrome-with-ultrasound-guided-hydrodissection-a-case-report
#9
Lan-Hui Qin, Wan Cao, Fei-Tong Chen, Qi-Bo Chen, Xi-Xia Liu
BACKGROUND: Posterior interosseous nerve (PIN) entrapment syndrome is one of the causes of weakness and pain of the arm muscles, which is prone to missed diagnosis and misdiagnosis in clinic practice. This paper reports a case of PIN entrapment syndrome, with PIN injury indicated by electrophysiology. Musculoskeletal ultrasound was applied to identify that the entrapment point was located at the inlet of the Frohse arch and the outlet of the supinator muscle. Treatment with ultrasound-guided nerve hydrodissection was performed on the entrapment point, which significantly improved the symptoms...
September 26, 2023: World Journal of Clinical Cases
https://read.qxmd.com/read/37873681/provocative-changes-in-nerve-conductions-fact-or-fiction
#10
JOURNAL ARTICLE
Lawrence R Robinson
At times electrodiagnostic medical consultants (EMCs) are asked to perform studies in both a neutral position, and then again after the patient is in a provocative position that exacerbates symptoms, to assess for measurable electrophysiologic changes. While this approach might seem initially appealing, particularly when standard studies are not effective at diagnosis, empiric studies in several conditions have been unimpressive. Studies in median neuropathy at the wrist, thoracic outlet syndrome, piriformis syndrome and radial tunnel syndrome have failed to demonstrate reproducible changes in nerve conduction studies in positions that exacerbate symptoms...
October 24, 2023: Muscle & Nerve
https://read.qxmd.com/read/37714514/the-prevalence-of-double-and-multiple-crush-syndromes-in-patients-surgically-treated-for-peripheral-nerve-compression-in-the-upper-limb
#11
JOURNAL ARTICLE
Geraldine Kong, Jean Paul Brutus, Thiên-Trang Vo, Elisabet Hagert
OBJECTIVE: The double crush syndrome describes a condition characterized by multifocal entrapment of a nerve. In the upper limb, the high prevalence of carpal tunnel syndrome makes it a common diagnosis of assumption in the setting of median neuropathy. More proximal compressions may tend to be overlooked, under-diagnosed and under-treated in the population. This study aims to map the prevalence of peripheral upper limb nerve compressions among patients undergoing peripheral nerve decompression...
September 13, 2023: Hand Surgery and Rehabilitation
https://read.qxmd.com/read/37667203/ulnar-nerve-anteposition-with-adipofascial-flap-an-alternative-treatment-for-severe-cubital-syndrome
#12
JOURNAL ARTICLE
Michele Riccio, Pasquale Gravina, Pier Paolo Pangrazi, Valentina Cecconato, Antonio Gigante, Francesco De Francesco
BACKGROUND: Ulnar nerve entrapment at the elbow is the second most common cause of nerve entrapment in the upper limb. Surgical techniques mainly include simple decompression, decompression with anterior transposition and medial epicondylectomy. METHODS: We performed decompression with anterior transposition and protected ulnar nerve by adipofascial flap (a random flap with radial based vascularization, harvested through the avascular plane of Scarpa's fascia. We analyzed patients who underwent ulnar nerve ante-position from 2015 to 2022 according to inclusion and exclusion criteria for a total of 57 patients...
September 4, 2023: BMC Surgery
https://read.qxmd.com/read/37588079/humerus-shaft-fractures-approaches-and-management
#13
REVIEW
Wich Orapiriyakul, Varat Apivatthakakul, Bodin Theppariyapol, Theerachai Apivatthakakul
Humeral shaft fracture is a common injury which can be treated either conservatively with functional bracing or with surgical fixation. Current evidence shows an increase in the rate of nonunion after conservative treatment, suggesting that indications for conservative treatment may need to be re-examined. This article updates trends in treatment for humeral shaft fracture. Indications for surgery, both for plate osteosynthesis with open reduction and internal fixation (ORIF) as well as for minimally invasive plate osteosynthesis (MIPO) and intramedullary nailing (IMN) are described...
August 2023: Journal of Clinical Orthopaedics and Trauma
https://read.qxmd.com/read/37521562/lacertus-syndrome-an-outcome-analysis-after-lacertus-release
#14
JOURNAL ARTICLE
Amir Adham Ahmad, Shalimar Abdullah, Alexander Samuel Thavamany, Chong Yee Tong, Shubash Shander Ganapathy
PURPOSE: The lacertus fibrosus or bicipital aponeurosis is a sheet of ligamentous tissue just distal to the elbow joint and can be a compression point for the median nerve. Essentially, lacertus syndrome is a subset of pronator syndrome and an uncommon diagnosis by itself. Surgical release of the lacertus consists of a small 2-cm incision that can be performed under local anesthesia. This study aimed to evaluate the outcome of lacertus release in resolving median nerve symptoms. METHODS: This retrospective study was performed at Prince Court Medical Centre, Kuala Lumpur, Malaysia, from January 2020 until June 2021...
July 2023: Journal of hand surgery global online
https://read.qxmd.com/read/37296780/ultrasound-imaging-and-guidance-for-distal-peripheral-nerve-pathologies-at-the-wrist-hand
#15
REVIEW
Wei-Ting Wu, Ke-Vin Chang, Yu-Chun Hsu, Yuan-Yuan Tsai, Kamal Mezian, Vincenzo Ricci, Levent Özçakar
Ultrasound has emerged as a highly valuable tool in imaging peripheral nerve lesions in the wrist region, particularly for common pathologies such as carpal tunnel and Guyon's canal syndromes. Extensive research has demonstrated nerve swelling proximal to the entrapment site, an unclear border, and flattening as features of nerve entrapments. However, there is a dearth of information regarding small or terminal nerves in the wrist and hand. This article aims to bridge this knowledge gap by providing a comprehensive overview concerning scanning techniques, pathology, and guided-injection methods for those nerve entrapments...
May 31, 2023: Diagnostics
https://read.qxmd.com/read/37266182/recovery-and-functional-outcome-after-radial-nerve-palsy-in-adults-with-a-humeral-shaft-fracture-a-multicenter-prospective-case-series
#16
JOURNAL ARTICLE
Saskia H Van Bergen, Esther M M Van Lieshout, Michael H J Verhofstad, Dennis Den Hartog
BACKGROUND: The consequences of radial nerve palsy associated with a humeral shaft fracture are unclear. The aim of this study was to examine the functional recovery of radial nerve palsy, at presentation or postoperatively, in patients with a humeral shaft fracture. METHODS: Data from patients who participated in the HUMeral shaft fractures: measuring recovery after operative versus non-operative treatment (HUMMER) study, a multicenter prospective cohort study including adults with a closed humeral shaft fracture Arbeitsgemeinschaft für Osteosynthesefragen (AO) type 12A or 12B, and had radial nerve palsy at presentation or postoperatively, were extracted from the HUMMER database...
May 2023: JSES international
https://read.qxmd.com/read/37214002/fractured-lateral-humeral-condyle-accompanied-by-acute-radial-nerve-palsy-in-a-child-first-reported-case-in-the-united-arab-emirates
#17
Baher Mohamed Samy, Ahmed Hafez Mousa, Mohamed Mostafa Ali Mohamed, Bilal El Yawafi
Despite being very common, lateral condyle fractures in children are rarely associated with acute nerve injuries. We present the case of a 10-year-old, left-handed male child who presented with a left lateral humeral condyle fracture associated with radial nerve injury. The patient was managed by open reduction and internal fixation plus radial nerve exploration, which was found entrapped in the fracture site. The patient achieved full recovery after 16 weeks. We report this case to present the approach and the operative findings and to emphasize the importance of a preoperative clinical examination in addition to preoperative planning to achieve a favorable outcome...
April 2023: Curēus
https://read.qxmd.com/read/37193988/correlation-between-delayed-carpal-tunnel-syndrome-and-carpal-malalignment-after-distal-radial-fracture
#18
JOURNAL ARTICLE
Walaa Elwakil
BACKGROUND: Delayed carpal tunnel syndrome after Colles' fracture is a common complication particularly following conservative treatment. The aim of the study was to verify the correlation of different radiological parameters of carpal alignment and the development as well as the severity of DCTS in elderly female patients within 6 months of distal radial fracture (DRF). METHODS: This is a retrospective case-control study that included 60 female patients with DRF within 6 months treated conservatively (30 patients with signs and symptoms suggestive of DCTS and 30 asymptomatic patients as a control group)...
May 17, 2023: Journal of Orthopaedic Surgery and Research
https://read.qxmd.com/read/36974288/split-brachioradialis-tendon-causing-wartenberg-syndrome-in-a-professional-baseball-pitcher
#19
Devin C Potter, Derrick E Wendler, Eric R Hrycko, Haley D Puckett, Gary M Lourie
Wartenberg syndrome can occur when external factors compress the superficial radial nerve. It can also be due to anatomic variations, such as a split brachioradialis tendon entrapping the nerve. This case report describes a unique example of a professional baseball player diagnosed with Wartenberg syndrome who was later found to have a split brachioradialis tendon during surgical management. It is an important addition to the field of hand surgery since, to our knowledge, we have not identified such a rare case concerning a professional athlete previously described in the literature...
March 2023: Journal of hand surgery global online
https://read.qxmd.com/read/36966371/-radial-tunnel-syndrome
#20
JOURNAL ARTICLE
Ayman Khoury, Gil Gannot, Amir Oron
The radial tunnel syndrome (RTS) is an entrapment of the radial nerve in the forearm. It is characterized by pain focused on the trapping area in the proximal forearm as well as pain radiated down the forearm. The syndrome is more common in men and in our estimation, there is a circumstantial connection to the continuous use of the computer keyboard. Radial tunnel syndrome is a consequence of nerve entrapment in the tunnel, which is formed from a covering consisting of the supinator muscle and the distal margins of this muscle...
March 2023: Harefuah
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