keyword
https://read.qxmd.com/read/36923620/multiple-tendon-transfer-for-a-case-of-radial-nerve-palsy-in-hereditary-neuropathy-with-liability-to-pressure-palsy
#21
Federico Palumbo, Michiro Yamamoto, Hitoshi Hirata
Hereditary neuropathy with liability to pressure palsy (HNPP) is a rare autosomal dominant disease characterized by focal, recurrent, demyelinating peripheral neuropathies. It is caused by deletions of the gene encoding for peripheral myelin protein 22 (PMP22) on chromosome 17. While it may range widely, the most common clinical presentation is an acute, focal mononeuropathy with numbness or muscle weakness after trauma or compression. Diagnostic tools include electrophysiological studies, genetic tests and nerve biopsies...
February 2023: Nagoya Journal of Medical Science
https://read.qxmd.com/read/36883426/radial-nerve-palsy-in-paediatric-humeral-shaft-fractures-incidence-and-management
#22
JOURNAL ARTICLE
Łukasz Wiktor, Ryszard Tomaszewski
BACKGROUND: Humeral shaft fractures are relatively rare in the paediatric population. The purpose of our study was to retrospectively evaluate all humeral shaft fractures treated at a children's trauma centre and assess cases involving radial nerve injury. MATERIAL AND METHODS: We retrospectively evaluated a group of 5 skeletally immature patients with radial nerve palsy out of a total of 104 patients with humeral shaft fractures treated in our hospital between January 2011 and December 2021...
June 30, 2022: Ortopedia, Traumatologia, Rehabilitacja
https://read.qxmd.com/read/36781706/radial-nerve-compression-anatomical-perspective-and-clinical-consequences
#23
REVIEW
Andrzej Węgiel, Piotr Karauda, Nicol Zielinska, R Shane Tubbs, Łukasz Olewnik
The radial nerve is the biggest branch of the posterior cord of the brachial plexus and one of its five terminal branches. Entrapment of the radial nerve at the elbow is the third most common compressive neuropathy of the upper limb after carpal tunnel and cubital tunnel syndromes. Because the incidence is relatively low and many agents can compress it along its whole course, entrapment of the radial nerve or its branches can pose a considerable clinical challenge. Several of these agents are related to normal or variant anatomy...
February 13, 2023: Neurosurgical Review
https://read.qxmd.com/read/36729886/decompression-with-complete-brachioradialis-tenotomy-improves-pain-and-quality-of-life-for-patients-with-compression-of-the-sensory-branch-of-the-radial-nerve
#24
JOURNAL ARTICLE
Elspeth J Hill, William Padovano, Emily M Krauss, J Megan M Patterson, Andrew Yee, Lara W Crock, Susan E Mackinnon
BACKGROUND: Decompression of the sensory branch of the radial nerve (SBRN) with complete brachioradialis tenotomy may treat pain in both simple and complex cases of SBRN compression neuropathy. METHODS: A retrospective chart review was performed of consecutive patients undergoing this procedure between 2008-2020 including post-operative outcomes within 90 days. Data were collected and analysed including patient and injury demographics, pain descriptors, and patient-reported pain questionnaire, including reported pain severity and impact on quality of life (QoL) using visual analogue scales (VAS)...
December 6, 2022: Plastic and Reconstructive Surgery
https://read.qxmd.com/read/36628033/heterogeneous-presentation-of-hereditary-neuropathy-with-liability-to-pressure-palsies-clinical-and-electrodiagnostic-findings-in-three-patients
#25
Lisa B Shields, Vasudeva G Iyer, Yi Ping Zhang, Christopher B Shields
Hereditary neuropathy with liability to pressure palsies (HNPP) is characterized by the acute onset of focal sensory and/or motor deficits when the peripheral nerves are stressed by a mechanical force. Caused by a deletion in the PMP22 gene, this condition is often underdiagnosed or misdiagnosed due to the heterogeneity of clinical and electrophysiological presentation. This case series describes the clinical and electrodiagnostic (EDX) features of three patients presenting with clinically heterogenous phenotypes of HNPP...
December 2022: Curēus
https://read.qxmd.com/read/36381460/paralysis-of-the-upper-extremity-due-to-acute-thoracic-outlet-syndrome-caused-by-the-subclavius-posticus-muscle-a-case-report-with-literature-review
#26
Dongkwan Lee, Changik Lee, Byung-Chul Son
The subclavius posticus muscle is a rare aberrant muscle that traverses from the costal cartilage of the first rib posterolaterally to the superior border of the scapula. We report a patient having persistent paralysis of shoulder abduction with wrist and finger extension after a humeral neck fracture. Electromyography (EMG) examination revealed injuries to several upper extremity peripheral nerves, including the radial, axillary, and musculocutaneous nerves. Magnetic resonance imaging (MRI) performed at 10 months post-injury showed severe entrapment of the left brachial plexus by the subclavius posticus muscle at the thoracic outlet...
October 2022: Korean Journal of Neurotrauma
https://read.qxmd.com/read/36363527/treatment-of-radial-nerve-palsy-in-paediatric-humeral-shaft-fractures-strobe-compliant-investigation
#27
JOURNAL ARTICLE
Łukasz Wiktor, Ryszard Tomaszewski
Background and Objectives :<i/>Due to the rarity of radial nerve palsy in humeral shaft fractures in the paediatric population and the lack of data in the literature, the purpose of our study was to report the treatment results of six children who sustained a radial nerve injury following a humeral shaft fracture. Materials and Methods: We treated six paediatric patients with radial nerve palsy caused by a humeral shaft fracture in our department from January 2011 to June 2022. The study group consisted of four boys and one girl aged 8...
October 31, 2022: Medicina
https://read.qxmd.com/read/36322444/common-peripheral-nerve-entrapments-in-the-upper-limb
#28
JOURNAL ARTICLE
Pramin Raut, Neil Jones, Marjan Raad, Will Kieffer
Entrapment of peripheral nerves can occur as they travel through restrictive spaces. This nerve compression can result in a constellation of signs and symptoms, which are often called syndromes. Patients initially report pain, paraesthesia and numbness, followed by weakness and clumsiness and, ultimately, muscle wasting. The specific region of paraesthesia and pain and the specific muscle weakness is determined by the peripheral nerve involved and the location of the entrapment. Diagnosis is mainly based on history and examination...
October 2, 2022: British Journal of Hospital Medicine
https://read.qxmd.com/read/36308359/estimation-of-neural-tissue-mobility-in-breast-cancer-survivors-with-lymphedema
#29
JOURNAL ARTICLE
Sandeep Shinde, Devanshi Joshi, Sanjaykumar Patil, Piyusha Pawar
BACKGROUND: Lymphedema in breast cancer survivors is a very common condition which progressively may lead to entrapment  neuropathy. In lymphedema there is accumulation of fluid due to removal of lymph nodes which causes stretching of nerve fibres within the skin, compression on top of the nerve bundle leading to nerve entrapment. This will increase the neural mechanosensitivity and functional impairment of shoulder as a protective neural response to movement or traction. METHODS: This study was carried out by assessing the total 72 breast cancer survivor women, with lymphedema...
October 1, 2022: Asian Pacific Journal of Cancer Prevention: APJCP
https://read.qxmd.com/read/36300558/radial-nerve-entrapment-after-fracture-of-the-supracondylar-humerus-a-rare-case-of-a-6-year-old
#30
JOURNAL ARTICLE
Cheungsoo Ha, Soo-Hong Han, Ju Sung Lee, In-Tae Hong
Supracondylar fracture of the humerus is one of the most common fractures seen in children, and posteromedial displacement of the distal fragment in extension-type supracondylar humerus fractures can cause injury to the radial nerve. A 6-year old girl who presented with symptoms of radial nerve injury after a supracondylar fracture of the right humerus with complete posteromedial displacement of the distal fragment (Gartland type III) underwent surgery where closed reduction and percutaneous pinning was performed...
September 2022: Acta Orthopaedica et Traumatologica Turcica
https://read.qxmd.com/read/36224295/nerve-entrapment-syndromes-of-the-upper-limb-a-pictorial-review
#31
REVIEW
Mohammad Danish Mangi, Steven Zadow, WanYin Lim
Peripheral nerves of the upper limb may become entrapped at various points during their anatomical course. While physical examination and nerve conduction studies are the mainstay of diagnosis, there are multiple imaging options, specifically ultrasound and magnetic resonance imaging (MRI), which offer important information about the potential cause and location of nerve entrapment that can help guide management. This article overviews the anatomical course of various upper limb nerves, including the long thoracic, spinal accessory, axillary, suprascapular, radial, median, ulnar, and musculocutaneous nerves, and describes the common locations and causes of entrapments for each of the nerves...
October 12, 2022: Insights Into Imaging
https://read.qxmd.com/read/36209094/the-distribution-of-acquired-peripheral-nerve-injuries-associated-with-severe-covid-19-implicate-a-mechanism-of-entrapment-neuropathy-a-multicenter-case-series-and-clinical-feasibility-study-of-a-wearable-wireless-pressure-sensor
#32
MULTICENTER STUDY
Colin K Franz, Nikhil K Murthy, George R Malik, Jean W Kwak, Dom D'Andrea, Alexis R Wolfe, Ellen Farr, Melanie A Stearns, Swati Deshmukh, Jinny O Tavee, Fang Sun, Kevin N Swong, Leslie Rydberg, R James Cotton, Lisa F Wolfe, James M Walter, John M Coleman, John A Rogers
We diagnosed 66 peripheral nerve injuries in 34 patients who survived severe coronavirus disease 2019 (COVID-19). We combine this new data with published case series re-analyzed here (117 nerve injuries; 58 patients) to provide a comprehensive accounting of lesion sites. The most common are ulnar (25.1%), common fibular (15.8%), sciatic (13.1%), median (9.8%), brachial plexus (8.7%) and radial (8.2%) nerves at sites known to be vulnerable to mechanical loading. Protection of peripheral nerves should be prioritized in the care of COVID-19 patients...
October 8, 2022: Journal of Neuroengineering and Rehabilitation
https://read.qxmd.com/read/36206514/spatial-anatomy-of-the-radial-nerve-in-the-extended-deltopectoral-approach
#33
JOURNAL ARTICLE
Aaron M Gipsman, Hansel E Ihn, Brenda C Iglesias, Ali Azad, Michael A Stone, Reza Omid
The goal of this study was to define safe zones to prevent radial nerve injury in an extended deltopectoral approach. Relative distances of the upper margin (UMRN) and lower margin (LMRN) of the radial nerve to the proximal and distal borders of the pectoralis major and deltoid insertions were measured in 20 cadaveric arms. Four proximal humeral zones were identified (zone I, proximal border of the pectoralis major tendon to the proximal border of the deltoid tendon; zone II, proximal border of the deltoid tendon to the distal border of the pectoralis major tendon; zone III, distal border of the pectoralis major tendon to the distal border of the deltoid tendon; and zone IV, distal to the distal border of the deltoid tendon)...
October 6, 2022: Orthopedics
https://read.qxmd.com/read/36161789/migraine-headaches-in-patients-with-upper-extremity-compressive-neuropathy
#34
JOURNAL ARTICLE
Lisa Gfrerer, Jonathan Lans, Christian Chartier, Eric Wenzinger, William G Austen, Kyle R Eberlin
BACKGROUND: Upper extremity nerve compression syndromes and migraines caused by nerve entrapment have many similarities including patient presentation, anatomic findings, and treatment by surgical decompression of affected nerves. Parallels between the two conditions point towards the possibility of shared predisposition. The aim of this study was to evaluate the relationship between migraine and upper extremity nerve compression. METHODS: 9,558 patients that underwent nerve decompression surgery of the upper extremity (median, ulnar, radial and thoracic outlet) as identified by Current Procedural Terminology and International Classification of Diseases (ICD) codes were included in the analysis...
September 27, 2022: Plastic and Reconstructive Surgery
https://read.qxmd.com/read/36108377/radial-nerve-trapped-posterior-to-the-proximal-fracture-end-after-closed-reduction-of-supracondylar-humerus-fracture-in-children-a-case-report
#35
Wang Jiaqi, Li Hui, Wang Yanzhou, Li Long, Li Tianyou
INTRODUCTION AND IMPORTANCE: Radial nerve injury is very common in supracondylar humerus fractures, but radial nerve entrapment between the fracture ends after closed reduction is very rare, and we report a case of radial nerve entrapment after closed reduction. CASE PRESENTATION: A 7-year-old boy was admitted to the Department of Pediatric Orthopedics 24 days after closed reduction of a supracondylar fracture of the humerus with radial nerve injury. Preoperative ultrasound showed radial nerve entrapment between the fracture ends, which was confirmed by surgery...
September 9, 2022: International Journal of Surgery Case Reports
https://read.qxmd.com/read/36082441/posterior-interosseous-nerve-compression-in-the-forearm-aka-radial-tunnel-syndrome-a-clinical-diagnosis
#36
JOURNAL ARTICLE
J Megan M Patterson, Manuel A Medina, Alexander Yang, Susan E Mackinnon
BACKGROUND: Posterior interosseous nerve (PIN) compression in the forearm without motor paralysis is a challenging clinical diagnosis. This retrospective study evaluated the clinical assessment, diagnostic studies, and outcomes following surgical decompression of the PIN in the forearm. METHODS: This study reviewed 182 patients' medical charts following PIN decompression between 2000 and 2020 by a single surgeon. After exclusion of combined nerve entrapments, polyneuropathy, motor palsy, or lateral epicondylitis, the study included 14 patients...
September 8, 2022: Hand: Official Journal of the American Association for Hand Surgery
https://read.qxmd.com/read/35965378/the-effect-of-elbow-and-forearm-position-on-the-resisted-wrist-extension-test-and-incidence-of-sensory-disturbance-of-the-superficial-radial-nerve-in-patients-with-lateral-epicondylitis
#37
JOURNAL ARTICLE
Hiroshi Satake, Yasushi Naganuma, Ryusuke Honma, Junichiro Shibuya, Masahiro Maruyama, Michiaki Takagi
Background: The aim of this study is to determine the effect of elbow and forearm position on the resisted wrist extension test (RWET) in patients with lateral epicondylitis. We also looked at the incidence of associated sensory disturbance of the superficial radial nerve (SRN) and the effect of treatment of lateral epicondylitis on sensory disturbance. Methods: Sixty-three consecutive patients (68 limbs) with lateral epicondylitis and an equal number of age and gender matched volunteers were investigated. Patients with lateral epicondylitis were subdivided into two groups based on history of corticosteroid injection...
August 11, 2022: Journal of Hand Surgery Asian-Pacific Volume
https://read.qxmd.com/read/35895085/passive-wrist-deviation-to-increase-the-ultrasound-identified-procedural-safe-zone-in-carpal-tunnel-syndrome-a-retrospective-cohort-study
#38
JOURNAL ARTICLE
James B Meiling, John H Hollman, Alexander Y Shin, Jeffrey S Brault
INTRODUCTION: Carpal tunnel syndrome (CTS) is the most common peripheral nerve entrapment syndrome. Although prior studies have explored the anatomic changes of the median nerve and carpal arch with different wrist deviations and positionings, the change in safe zone distance between the median nerve and ulnar artery with ulnar or radial wrist deviations has not been adequately investigated. OBJECTIVE: To identify the optimal wrist positioning that increases the safe zone distance between the median nerve and ulnar artery using ultrasound in patients with CTS...
July 2023: PM & R: the Journal of Injury, Function, and Rehabilitation
https://read.qxmd.com/read/35778878/hand-and-wrist-injuries-associated-with-application-of-physical-restraints-a-systematic-review
#39
JOURNAL ARTICLE
Shawn Khan, Adam Mosa, Adam Clayton, Steven McCabe
While handcuffs and zip ties are common methods of physical restraint used by law enforcement, they have been noted to damage soft tissue and bony structures of the hand and wrist. This paper seeks to characterize the safety of physical restraints by summarizing its effects on hand and wrist function and disability. Relevant studies were gathered through an independent double selection and extraction process using 3 electronic databases (EMBASE, MEDLINE, and CINAHL) from database inception to June 19, 2020...
July 1, 2022: Hand: Official Journal of the American Association for Hand Surgery
https://read.qxmd.com/read/35755793/pulley-reconstruction-following-surgical-release-of-dc1-pulley-in-de-quervain-s-tenosynovitis-surgical-technique-and-case-series
#40
JOURNAL ARTICLE
Ankit Khurana, Pratik Agarwal, Shailendra Chandra Gupta, Kuldeep Malik, Vishal Jain
De Quervain's disease (DQD) is tenosynovitis of the first dorsal compartment (DC1) of the wrist between the osteofibrous tunnel and the tendons involving the APL and EPB sheaths at the radial styloid. Surgical intervention is indicated when pain does not resolve despite 3 to 6 months of conservative management. Release of the first dorsal compartment is an effective treatment of DQD. In addition to surgical release, we performed pulley reconstruction using a new technique in the present series of 20 patients which has not been previously described with a followup of over 1 year...
May 2022: Archives of Bone and Joint Surgery
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