133 results on '"Entrapment syndrome"'
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2. Morphology of the Posterior Interosseous Nerve with Regard to Entrapment Syndrome
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Axel Gänsslen, Sabine Kuchling, Ulrike Maria Schwarz, Marco J. Maier, Gloria Hohenberger, Andreas Weiglein, Angelika Maria Schwarz, and Peter Grechenig
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030222 orthopedics ,business.industry ,Radial head ,030229 sport sciences ,Dissection (medical) ,Anatomy ,urologic and male genital diseases ,medicine.disease ,Entrapment syndrome ,03 medical and health sciences ,Entrapment ,0302 clinical medicine ,Posterior interosseous nerve ,medicine.anatomical_structure ,Medicine ,Original Article ,Orthopedics and Sports Medicine ,Exit point ,Surgical treatment ,business - Abstract
BACKGROUND: Posterior interosseous nerve (PIN) entrapment syndrome is a rare condition and is predisposed by anatomical factors such as narrow passages through fibrous arcades; whereas, the Arcade of Frohse (AF) is the most common entrapment point. The aim of this study was to evaluate the entrance and exit points of the PIN into the supinator in detail. MATERIALS AND METHODS: One hundred unpaired upper extremities underwent dissection. The PIN’s entrance and exit points from the supinator were depicted. The distances between the tip of the radial head (RH) and the AF and the exit point of the PIN from the supinator were measured. Further, it was checked if the borders of the AF and the exit point were muscular, tendinous or a combination of these. RESULTS: The interval between the PIN’s entry into the supinator and the tip of the RH was at a mean of 28.9 mm. Concerning the border of the AF, in 54 cases a muscular and in 46 specimens a tendinous version could be observed. The interval between the exit point of the PIN and the tip of the RH proved to be at a mean of 64.2 mm. Further, the exit’s border was muscular in 65 specimens and tendinous in 35 cases. CONCLUSION: During surgical treatment of the PIN syndrome, it needs to be kept in mind that approximately one-third of all patients might also suffer from entrapment at the exit point of the PIN. more...
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- 2020
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3. Cystic adventitial disease of the popliteal artery presenting with features of entrapment syndrome
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Nizar Hariri, Babatunde Oriowo, Jennifer L. Smith, and Fedor Lurie
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medicine.medical_specialty ,lcsh:Diseases of the circulatory (Cardiovascular) system ,Knee flexion ,lcsh:Surgery ,030204 cardiovascular system & hematology ,030218 nuclear medicine & medical imaging ,Muscle hypertrophy ,03 medical and health sciences ,Cystic adventitial disease ,0302 clinical medicine ,medicine.artery ,Case report ,medicine ,business.industry ,Popliteal artery entrapment syndrome ,lcsh:RD1-811 ,medicine.disease ,Lower extremity claudication ,Popliteal artery ,Entrapment syndrome ,Surgery ,lcsh:RC666-701 ,medicine.symptom ,Cardiology and Cardiovascular Medicine ,Claudication ,business - Abstract
Cystic adventitial disease is an uncommon cause of lower extremity claudication resulting from accumulation of mucinous fluid in an arterial subadventitial layer, typically of the popliteal artery. A popliteal bruit and/or reduced distal pulses with knee flexion may be seen on examination. Alternatively, popliteal artery entrapment syndrome triggers claudication via an aberrant arterial pathway or muscular hypertrophy. Decreased distal pressures with plantar or dorsiflexion is a key finding. This report details the case of a middle-aged male with cystic adventitial disease whose diagnosis was complicated by concurrent features of popliteal artery entrapment syndrome. Treatment consisted of venous interposition grafting, which yielded excellent results. more...
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- 2020
4. Penile Entrapment Syndrome in Young Children
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Mohamed Ismail
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medicine.medical_specialty ,business.industry ,Medicine ,business ,Entrapment syndrome ,Surgery - Abstract
Introduction Entrapment syndromes can occur in extremities like the genitalia, the penis, toes and fingres and mostly due to hair shed by the mother mostly in young children but may be other materials are involved specially in adults. Penile hair Entrapment syndrome is an uncommon health problem that leads to devastating injuries to the urethra and penis including urethral fistula up to urethral complete transaction and penile injury up to penile amputation. We are going to discuss our experience with the problem. Materials and Methods All 15 patients between 2018 and 2020 had been operated upon for various degrees of Penile hair Entrapment syndrome from simple single urethral fistula, and complete urethral transection, their ages ranged between 1.5 years to 4.6 years. Follow up ranged between 6 months to 1.4 years. Each patient was invstigated and examined at the emergency room for other entrapment syndromes and the causative agent was removed and the patients were admitted for managing their urethral and penile injuries. Results All 15 patient but 1 had complete healing with fistula healing and normal voiding with no meatal stenosis or urethral divritculum. One patient had incomplete urethral Closure wit redo operation and fistula closure. Discussion There are multiple reports and literature that address the problem yet nobody took into account how to prevent it. There should be public awarence about the problem, the mother should examine her child for any entrapment syndrome and if any suspicious finding she sholud seek medical advice. Conclusion Penile entrapment syndromes are uncommon urological health problems that can face the urologist but he should be aware of the problem that can affect young children and he should put in mind the problem to manage it as early as possible to prevent further damage of the valuable urethra and penis. more...
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- 2021
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5. Styloidogenic compression of the internal jugular vein, a new venous entrapment syndrome?
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Sandrine Morell-Dubois, Marc Lambert, Mohammad Ryadh Pokeerbux, Christine Delmaire, and Xavier Demondion
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medicine.medical_specialty ,Vascular imaging ,business.industry ,medicine.medical_treatment ,First cervical vertebra ,medicine.disease ,Control subjects ,Compression (physics) ,Thrombosis ,Entrapment syndrome ,03 medical and health sciences ,0302 clinical medicine ,medicine ,030212 general & internal medicine ,Radiology ,Cardiology and Cardiovascular Medicine ,business ,Internal jugular vein ,030217 neurology & neurosurgery ,Central venous catheter - Abstract
Internal jugular vein (IJV) thrombosis is mainly related to central venous catheter, malignancy, and ovarian hyperstimulation syndrome. We report a case of IJV thrombosis possibly related to IJV compression between the styloid process and the first cervical vertebra (C1) transverse process. To support this hypothesis, we perform radiological assessment of the IJV and examine its relationship with the styloid process and C1 transverse process in 34 controls. Our results showed a strong correlation between IJV diameter and styloid process–C1 transverse process distance. Compared to control subjects, our patient had a short styloid process–C1 transverse process distance, which suggests its involvement in IJV thrombosis. more...
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- 2020
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6. Quality of life effects of pain from para-lumbar- and lower extremity entrapment syndrome and carpal tunnel syndrome and comparison of the effectiveness of surgery
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Naotaka Iwamoto, Toyohiko Isu, Akio Morita, Daijiro Morimoto, Kyongsong Kim, and Rinko Kokubo
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Adult ,Male ,medicine.medical_specialty ,030218 nuclear medicine & medical imaging ,03 medical and health sciences ,0302 clinical medicine ,Lumbar ,Quality of life ,Physical functioning ,Humans ,Medicine ,In patient ,Patient Reported Outcome Measures ,National standard ,Carpal tunnel syndrome ,Pain, Postoperative ,business.industry ,Lumbosacral Region ,Middle Aged ,Decompression, Surgical ,medicine.disease ,Carpal Tunnel Syndrome ,Entrapment syndrome ,Surgery ,Bodily pain ,Lower Extremity ,Quality of Life ,Female ,Neurology (clinical) ,business ,030217 neurology & neurosurgery ,Tarsal Tunnel Syndrome - Abstract
We compared the preoperative quality of life (QOL) of patients with carpal tunnel syndrome, lower extremity-, and para-lumbar entrapment syndrome, and the effect of surgery on their QOL. We prospectively enrolled 66 consecutive patients who underwent surgery for carpal tunnel syndrome (group 1, n = 23), lower extremity entrapment syndrome (group 2, n = 22), and para-lumbar entrapment syndrome (group 3, n = 21). Their pre- and postoperative overall health status was assessed on the Medical Outcomes Study Short-Form 36 Health Survey, v2 (SF-36). Except for the mental component summary, the preoperative score for items rated on the SF-36 was significantly lower in group 3 than in groups 1 and 2 (p more...
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- 2020
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7. Long round-sharp needle release technique for 34 cases of superior cluneal nerve entrapment syndrome
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Ligong Xue, Tong Wang, and Rongjun Li
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medicine.medical_specialty ,Third lumbar vertebra ,business.industry ,Therapeutic effect ,Tendon ,Entrapment syndrome ,Surgery ,medicine.anatomical_structure ,Meridian (perimetry, visual field) ,Complementary and alternative medicine ,medicine ,Superior cluneal nerves ,business ,Syndrome differentiation ,After treatment - Abstract
Objective To observe the clinical effect on superior cluneal nerve (SCN) entrapment syndrome treated with the release technique of long round-sharp needle. Methods The syndrome differentiation based on meridian muscle region was adopted. The release technique of the long round-sharp needle was used at the lesions of meridian tendon region, Yāoyici (Beside Yaoyi) and the transverse process of the third lumbar vertebra in 34 patients with SCN entrapment syndrome. The treatment was given once a week, 4 treatments made one course. After one course treatment, the therapeutic effect was observed. The results of pain rating index (PRI), the visual analogy scores (VAS) and the present pain intensity (PPI) were compared before and after treatment. Results Of 34 patients, 28 cases (82%) were cured, 6 cases (18%) effective and 0 case (0%) failed. The total effective rate was 100%. The scores of PRI, VAS and PPI were (10.78 ± 1.98), (5.98 ± 1.19) and (3.91 ± 1.68) successively in 34 cases before treatment and they were (1.98 ± 1.79), (0.89 ± 1.12) and (0.82 ± 0.79) after treatment. The score of every evaluation scale after treatment was lower significantly than that before treatment (all P Conclusion The release technique of long round-sharp needle achieves the satisfactory clinical effect on SCN entrapment syndrome. Hence, this therapeutic method deserves to be promoted. more...
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- 2019
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8. Pharmacoacupuncture Treatment of Coccygodynia Caused by Perforating Cutaneous Nerve Entrapment Syndrome: Two Cases Report
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Seonghwan Choi, Sunjoo An, Seo-Hyun Park, Dongho Keum, and Sori Moon
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Pharmacoacupuncture Treatment ,medicine.medical_specialty ,business.industry ,Cutaneous nerve ,Entrapment Neuropathy ,Medicine ,business ,Nerve entrapment ,Entrapment syndrome ,Surgery - Published
- 2019
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9. Popliteal entrapment syndrome-The case for a new classification
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Manju Kalra, Thomas C. Bower, Gustavo S. Oderich, Arjun Jayaraj, Peter Gloviczki, Randall R. DeMartino, and Audra A. Duncan
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medicine.medical_specialty ,Arterial Occlusive Diseases ,030204 cardiovascular system & hematology ,030218 nuclear medicine & medical imaging ,Popliteal entrapment syndrome ,03 medical and health sciences ,Gastrocnemius muscle ,0302 clinical medicine ,Medicine ,Humans ,Radiology, Nuclear Medicine and imaging ,Popliteal Artery ,Muscle, Skeletal ,Fibrous bands ,Retrospective Studies ,Retrospective review ,business.industry ,General Medicine ,Entrapment syndrome ,Lateral femoral condyle ,Surgery ,Radiology ,Cardiology and Cardiovascular Medicine ,business ,Hamstring ,Preoperative imaging - Abstract
Objectives To assess the ability of the current classification system for popliteal entrapment syndrome to accurately capture all patients, and if not, to design an all-inclusive new classification. Methods Retrospective review of all interventions performed for popliteal entrapment syndrome between 1994 and 2013 at our institution was performed. Preoperative imaging and intraoperative findings were used to establish the compressive morphology of popliteal entrapment syndrome. Patients were categorized, when possible, into six types of the current classification system (Rich classification, modified by Levien) and into seven types of a new classification. Results Sixty-seven limbs of 49 patients were operated on for unilateral (31) or bilateral (18) popliteal entrapment syndrome. The current classification system captured the anatomy of only 43 (64%) of 67 limbs with popliteal entrapment syndrome. Compressive morphologies without a defined class included aberrant insertion of the lateral head of gastrocnemius muscle, muscle slip originating from the lateral head of gastrocnemius or hamstrings, hypertrophied hamstring muscle, abnormal fibrous bands, perivascular connective tissue, and prominent lateral femoral condyle. The new classification captured 100% of the limbs with popliteal entrapment syndrome. Conclusions Current classification of popliteal entrapment syndrome is inadequate as more than one-third of the cases reviewed fell outside of the standard classification system. Consideration of a more inclusive new anatomic classification system is warranted. more...
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- 2021
10. Lateral Cutaneous Nerve Entrapment Syndrome (LACNES)
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Takahiro Mori, Masatomi Ikusaka, Tomonori Kato, Daiki Yokokawa, and Kosuke Ishizuka
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Pathology ,medicine.medical_specialty ,Carnett's sign ,business.industry ,Cutaneous nerve ,Medicine ,General Medicine ,Anterior cutaneous nerve entrapment syndrome ,medicine.symptom ,business ,medicine.disease ,Entrapment syndrome - Published
- 2021
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11. The compression test for lateral antebrachial cutaneous nerve entrapment syndrome
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Steven D. Waldman
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Lateral antebrachial cutaneous nerve ,business.industry ,Medicine ,Compression test ,Anatomy ,business ,Entrapment syndrome - Published
- 2021
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12. The numb medial thigh sign for obturator nerve entrapment syndrome
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Steven D. Waldman
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business.industry ,NUMB ,Medicine ,Obturator nerve ,Anatomy ,Medial compartment of thigh ,business ,Sign (mathematics) ,Entrapment syndrome - Published
- 2021
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13. Popliteal artery entrapment syndrome: a case report with literature review
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Hammam Rasras, Taha Abu Altayef, Abdellah Rziki, Adnane Benzirar, and Omar El Mahi
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Adult ,Male ,medicine.medical_specialty ,Popliteal fossa ,Popliteal artery ,Popliteal Artery Entrapment Syndrome ,Case Report ,entrapment syndrome ,medicine.artery ,medicine ,Humans ,Fibrous bands ,claudication ,business.industry ,stenosis ,General Medicine ,Popliteal artery entrapment syndrome ,Intermittent Claudication ,medicine.disease ,Entrapment syndrome ,Surgery ,Stenosis ,medicine.anatomical_structure ,Treatment Outcome ,medicine.symptom ,Claudication ,business ,case report - Abstract
Popliteal artery entrapment syndrome generally causes calf claudication in young active adult. It is resulting of the anatomical relationship between the popliteal artery and adjacent muscles or fibrous bands in the popliteal fossa. We present the case of a 36-year-old male with left calf claudication limb in whom popliteal artery entrapment syndrome was diagnosed, and successfully treated surgically. more...
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- 2020
14. Kiloh-Nevin Syndrome
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Koenraad Verstraete, Vincent VandeVyver, and Victor Rabaut
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lcsh:Medical physics. Medical radiology. Nuclear medicine ,Images in Clinical Radiology ,lcsh:R895-920 ,education ,Entrapment ,Forearm ,Edema ,medicine ,Radiology, Nuclear Medicine and imaging ,forearm ,mri ,business.industry ,kiloh-nevin syndrome ,technology, industry, and agriculture ,Anatomy ,rare ,Median nerve ,Entrapment syndrome ,body regions ,stomatognathic diseases ,medicine.anatomical_structure ,entrapment ,Kiloh-Nevin Syndrome ,MRI ,neuropathy ,median nerve ,Kiloh-Nevin syndrome ,medicine.symptom ,business - Abstract
Teaching point: The Kiloh-Nevin Syndrome is a rare entrapment syndrome of the median nerve, with a distinct muscle edema pattern of the forearm.
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- 2020
15. Entrapment- und Non‑Entrapment-Syndrome am Ellenbogen
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T. Godel and M. Pham
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Gynecology ,03 medical and health sciences ,medicine.medical_specialty ,0302 clinical medicine ,business.industry ,medicine ,Radiology, Nuclear Medicine and imaging ,business ,030217 neurology & neurosurgery ,030218 nuclear medicine & medical imaging ,Entrapment syndrome - Abstract
Entrapment-Syndrome peripherer Nerven am Ellenbogen und ihre Differenzialdiagnosen stellen eine Herausforderung in Diagnostik und Behandlung dar. Schwierigkeiten bestehen v. a. in der exakten Lokalisation der Nervenlasion sowie in der Differenzierung zwischen fokalen und multifokalen Erkrankungen. Anamnese, klinisch-neurologische Untersuchung und Elektrophysiologie stellen den bisherigen Goldstandard in der Diagnostik von Entrapment-Syndromen peripherer Nerven am Ellenbogen dar, haben aber methodisch bedingte Limitationen. Mit der 3‑T-Magnetresonanzneurographie (MRN) und der Nervensonographie stehen zusatzliche bildgebende Verfahren zur hochauflosenden Darstellung peripherer Nerven zur Verfugung. Die Bildgebung kann fokale und generalisierte Nervenlasionen verschiedenster Genese bis auf Faszikelniveau visualisieren und damit prazise lokalisieren. Mithilfe der bildgebenden Nervendarstellung konnen in einem Untersuchungsgang die nervalen Strukturen am Ellenbogen erfasst und fokale von multifokalen Nervenerkrankungen differenziert werden. Die Bildgebung stellt eine wertvolle Erganzung in der Diagnostik von Entrapment-Syndromen am Ellenbogen dar und liefert eine wichtige Hilfestellung zur Abgrenzung nichtfokaler Differenzialdiagnosen – insbesondere in den Fallen, die mittels der neurologischen, diagnostischen Standardverfahren nicht eindeutig zu klaren sind. Anhand des Lasionsmusters konnen Ruckschlusse auf die Genese der Erkrankung gezogen werden, was mitunter eine entscheidende therapeutische Konsequenz nach sich zieht. more...
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- 2018
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16. Síndrome do aprisionamento da artéria tibial anterior: relato de caso
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Leandro Castro, Marcio Miyamotto, Izara Castro de Souza, Danielle Corrêa de Andrade, Bruna Zimmerman Angelo, Ricardo César Rocha Moreira, and Gabrielle Simões Marcusso
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lcsh:Diseases of the circulatory (Cardiovascular) system ,claudicação intermitente ,business.industry ,compressão arterial ,lcsh:Surgery ,lcsh:RD1-811 ,030229 sport sciences ,030204 cardiovascular system & hematology ,Entrapment syndrome ,03 medical and health sciences ,0302 clinical medicine ,lcsh:RC666-701 ,Anterior tibial artery ,medicine.artery ,Medicine ,artéria tibial anterior ,Cardiology and Cardiovascular Medicine ,business ,Nuclear medicine - Abstract
Resumo A claudicação intermitente é uma queixa geralmente relacionada com oclusão arterial secundária a doença aterosclerótica. Entretanto, em pacientes jovens com queixa de claudicação, outras causas devem ser pesquisadas, como a síndrome do aprisionamento da artéria poplítea, síndrome compartimental crônica, compressões ósseas e arterites. Os autores relatam o caso de um paciente com claudicação intermitente devido à compressão extrínseca da artéria tibial anterior pela membrana interóssea, diagnosticada através de angiorressonância durante manobras de dorsiflexão do pé. A paciente foi tratada com sucesso através da liberação do fator compressivo, evoluindo com melhora dos sintomas. more...
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- 2018
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17. Mini-open Carpal Tunnel Release
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Fabio V. C. Sparapani, Alexandros Theodoros Panagoupolos, Paulo Henrique Pires de Aguiar, Pedro Augusto de Santana, Marcos Vinicius Calfatt Maldaun, and Carlos Alexandre Martins Zicarelli
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body regions ,Mini open ,medicine.medical_specialty ,business.industry ,medicine ,Carpal tunnel release ,Mean age ,Median nerve compression ,Surgical procedures ,musculoskeletal system ,business ,Surgery ,Entrapment syndrome - Abstract
Introduction: Median nerve compression is the most common nerve entrapment syndrome. After carpal tunnel release, patients often complain about the scar cosmetic appearance. Objective: The aim of our study was to evaluate the clinical outcome, surgical technique and complications of mini-open carpal release. Methods: We reviewed data from 48 surgical procedures for Carpal Tunnel Syndrome in 32 patients at the Pinheiros Neurologicaland Neurosurgical Clinic in the period of 2000 and 2008. The mean age was 49 years-old. We used a 2 cm incision and microscopic technique to obtain meticulous access of the palmar hand anatomy with special attention to both the recurrent motor branch and palmar cutaneous nerve. Results: Twenty-two patients had total resolution of symptoms. Two patients had no change of neurological symptoms. During the follow up no infection or neurological deficits were observed. Conclusion: Mini-open is a safe and effective approach for carpal tunnel syndrome release. However detailed palmar hand anatomy is mandatory to prevent lesion of branching palmar nerve. The use of microscope is desirable to help identify important structures and avoid complications. more...
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- 2018
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18. Rare case of median nerve and brachial artery entrapment by an abnormal musculo-fascial tunnel in the arm: possible cause of neurovascular compression syndrome
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Swamy Ravindra Shanthakumar, Ravi Bhaskar, Ashwini Aithal Padur, Naveen Kumar, and Gayathri Prabhu
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Histology ,Median nerve ,Case Report ,03 medical and health sciences ,Cellular and Molecular Neuroscience ,0302 clinical medicine ,Forearm ,medicine.artery ,medicine ,Brachial artery ,0303 health sciences ,business.industry ,Entrapment syndrome ,Cell Biology ,Anatomy ,Pronator teres muscle ,Neurovascular bundle ,Pronator syndrome ,body regions ,medicine.anatomical_structure ,030301 anatomy & morphology ,Peripheral nervous system ,Entrapment Neuropathy ,Brachialis ,business ,030217 neurology & neurosurgery ,Developmental Biology - Abstract
Entrapment neuropathies of the peripheral nervous system are frequently encountered due to anatomical variations. Median nerve is the most vulnerable nerve to undergo entrapment neuropathies. The clinical complications are mostly manifested by median nerve impingement in forearm and wrist areas. Median nerve entrapment could also occur at the arm, due to the presence of ligament of Struthers. Here we report a rare case of proximal entrapment of median nerve and brachial artery in the arm by an abnormally formed musculo-fascial tunnel. The tunnel was formed by the muscle fibers of brachialis and medial intermuscular septum in the lower part of arm. Due to this, the median nerve coursed deep, below the tunnel and continued distally into the forearm, underneath the pronator teres muscle and hence did not appear as a content of cubital fossa. The present entrapment of neurovascular structures in the tunnel might lead to pronator syndromes or other neurovascular compression syndromes. more...
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- 2019
19. Laparoscopic transperitoneal pudendal nerve and artery release for pudendal entrapment syndrome
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Julien Sarkis, Elie Nemr, J. Abi Chebel, A. Kallas Chemaly, Albert Semaan, Fabienne Absil, Georges Mjaess, Renaud Bollens, and Fouad Aoun
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medicine.medical_specialty ,medicine.anatomical_structure ,business.industry ,Urology ,Pudendal nerve ,medicine ,business ,Entrapment syndrome ,Surgery ,Artery - Published
- 2021
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20. Läsionen des Nervus peronaeus
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René Handschu, Wolfgang Hönle, Alexander Schuh, Michael Janka, and Thomas Eibl
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030222 orthopedics ,03 medical and health sciences ,Peroneal nerve entrapment ,0302 clinical medicine ,business.industry ,Decompression ,Reflex ,Medicine ,030229 sport sciences ,General Medicine ,Anatomy ,business ,Entrapment syndrome - Abstract
Die Kompression des Nervus peronaeus in der Knieregion verursacht Schmerzen, die am lateralen Knie beginnen und in den Unterschenkel und Fusrucken ausstrahlen. Mogliche Ursachen fur eine Lasion des N. peronaeus sind direkte Traumen, Fibulafrakturen, Ganglien oder Exostosen. more...
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- 2017
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21. Das Cubitaltunnelsyndrom
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Michael Janka, Alexander Schuh, Thomas Eibl, René Handschu, and Wolfgang Hönle
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030222 orthopedics ,medicine.medical_specialty ,business.industry ,Decompression ,General Medicine ,030230 surgery ,Surgery ,Entrapment syndrome ,03 medical and health sciences ,Cubital tunnel syndrome ,0302 clinical medicine ,Medicine ,Combined Modality Therapy ,business ,Ulnar nerve - Published
- 2017
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22. Morton's neuroma as a surgical example of entrapment syndrome
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Victor M. Lu and Robert J. Spinner
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medicine.medical_specialty ,Decompression ,business.industry ,Morton's neuroma ,medicine.disease ,Nerve compression syndrome ,Entrapment syndrome ,Surgery ,Entrapment ,medicine ,business ,Interdigital neuroma ,Neurolysis - Published
- 2020
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23. Editorial: Use of Ultrasound in Diagnosis and Treatment of Peripheral Nerve Entrapment Syndrome
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Ke-Vin Chang and Sang Beom Kim
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medicine.medical_specialty ,Peripheral nerve entrapment syndrome ,business.industry ,ultrasound ,Ultrasound ,entrapment syndrome ,lcsh:RC346-429 ,neuropathic pain syndromes ,Entrapment syndrome ,Surgery ,Editorial ,Neurology ,Peripheral nerve ,peripheral nerve ,Medicine ,Neurology (clinical) ,diagnosis and treatment ,business ,lcsh:Neurology. Diseases of the nervous system - Published
- 2020
24. 52 cases of entrapment syndrome of superficial radial nerve treated with short thrust needling at Shànglián (上廉LI 9)
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Gang Feng
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medicine.medical_specialty ,Dry needling ,business.industry ,Significant difference ,0211 other engineering and technologies ,Thrust ,02 engineering and technology ,Thumb ,030226 pharmacology & pharmacy ,Nerve conduction velocity ,Entrapment syndrome ,Surgery ,Intensity (physics) ,03 medical and health sciences ,0302 clinical medicine ,medicine.anatomical_structure ,Complementary and alternative medicine ,021105 building & construction ,medicine ,business ,Radial nerve - Abstract
Objective To observe the clinical therapeutic effects on entrapment syndrome of superficial radial nerve treated with the short thrust needling at Shanglian (上廉LI 9). Methods A total of 52 patients of entrapment syndrome of superficial radial nerve were treated with the short thrust needling at LI 9. Firstly, the needle was inserted gradually and deeply until the needle tip touched the radial periosterum. Secondly, the needle body was tilted to form an angle about 30° with the skin surface. Thirdly, the needle handle was lifted and trusted shortly and swiftly to induce the gentle rubbing of the needle tip on the periosterum. The stimulation intensity of this needling technique was determined by the obvious soreness and distention in the local area or the needling sensation radiated to the radial sides of the thumb, the index figure and the middle figure of the affected limb. Afterward, the needle was retained for 20 min. The treatment was given once a day, five treatments made one course and a total of 2 courses of treatment were required. Results Of 52 cases, 50 cases were cured, accounting for 96.2% and 2 cases remarkably effective, accounting for 3.8%. The mean conduction velocity of the superficial radial nerve was (49.38 ± 2.97) m/s after treatment, faster than (29.31 ± 5.94) m/s before treatment, indicating the significant difference (P Conclusion The short thrust needling at LI 9 achieves the satisfactory clinical therapeutic effects on entrapment syndrome of superficial radial nerve. This therapeutic method is feasible to be promoted in clinical practice because of its less point selection and short treatment course. more...
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- 2018
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25. Die Meralgia paraesthetica
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Alexander Schuh, Wolfgang Hönle, Thomas Eibl, René Handschu, and Michael Janka
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Gynecology ,medicine.medical_specialty ,business.industry ,General Medicine ,Lateral femoral cutaneous nerve ,Anatomy ,medicine.disease ,Nerve compression syndrome ,Entrapment syndrome ,03 medical and health sciences ,0302 clinical medicine ,030202 anesthesiology ,Femoral Neuropathy ,medicine ,business ,030217 neurology & neurosurgery ,Meralgia paresthetica - Abstract
Das Kompressionssyndrom des N. cutaneus femoris lateralis (Meralgia paraesthetica) ist durch einen Sensibilitatsausfall an der Vorder- und Ausenseite des Oberschenkels gekennzeichnet. Es kann zu Parasthesien und ziehenden bis brennenden Schmerzen kommen. Wichtig ist die differenzialdiagnostische Abgrenzung zu einer hohen lumbalen Diskushernie. more...
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- 2018
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26. Pinch sign for acute lateral cutaneous nerve entrapment syndrome (LACNES)
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Takashi Watari
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0301 basic medicine ,medicine.medical_specialty ,Abdominal pain ,Images In… ,Primary care ,030105 genetics & heredity ,Administration, Cutaneous ,03 medical and health sciences ,0302 clinical medicine ,Humans ,Medicine ,Medical history ,Skin ,business.industry ,Nerve Compression Syndromes ,Cutaneous nerve ,General Medicine ,Trunk ,Entrapment syndrome ,Surgery ,Intercostal Nerves ,medicine.symptom ,business ,030217 neurology & neurosurgery ,Sign (mathematics) ,Sudden onset - Abstract
An 18-year-old woman with no remarkable medical history presented with sudden onset of left-sided abdominal pain that manifested after she bent forward in her chair to pick something up. The pain intensified whenever she rotated her trunk. The day before visiting my centre, she visited another more...
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- 2021
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27. Neuroanatomische Grundlagen des Gelenkschmerzes
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Elmar Peuker
- Subjects
030203 arthritis & rheumatology ,Gynecology ,medicine.medical_specialty ,business.industry ,Rehabilitation ,Physical Therapy, Sports Therapy and Rehabilitation ,Entrapment syndrome ,03 medical and health sciences ,0302 clinical medicine ,Rheumatology ,Medicine ,030212 general & internal medicine ,business ,030217 neurology & neurosurgery - Abstract
Gelenkschmerzen sind die haufigsten Behandlungsanlasse in der orthopadischen, hausarztlichen und schmerztherapeutischen Praxis. Die gelenkinnervierenden Strukturen spielen eine wichtige Rolle in der Pathogenese unterschiedlicher Arten von schmerzhaften Storungen der Gelenkfunktion. Insbesondere Mechanismen der peripheren Sensibilisierung sind verantwortlich fur die Schmerzchronifizierung und fortschreitende Gelenkzerstorung. Diese Ubersichtsarbeit gibt einen Uberblick hinsichtlich der zu Grunde liegenden Gelenkanatomie und pathologischen Veranderungen der an der Innervation beteiligten Strukturen sowie deren Auswirkungen auf die Gelenkfunktion. more...
- Published
- 2016
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28. A case report: Rare Variation of an extra musculo-tendon with two slips of flexor digitorum profundus muscle
- Author
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Sunil Kumar, Isha Herswani, and Saurabh Jain
- Subjects
business.industry ,Tenoplasty ,Dissection (medical) ,Anatomy ,musculoskeletal system ,medicine.disease ,Median nerve ,Entrapment syndrome ,Tendon ,medicine.anatomical_structure ,Forearm ,Flexor digitorum profundus muscle ,Cadaver ,Medicine ,business - Abstract
Introduction: Flexor digitorum profundus (FDP) muscle is the muscles of anterior compartments of the forearm with the most frequent anatomical variations. Macalister reported the variations in FDP. The incidences of variation are observed mainly in the number of heads of proximal attachment, though the variation in the tendon of distal attachment is comparatively rare. Methods: A 48-year-old male formalin preserved cadaver, finely dissected at dissection hall. Results: Normally the FDP muscle insert with four tendons. In this present case, the origin of FDP muscle was normal, but its insertion was by five separate tendons variate musculo-tendon which was found arises from FDP muscle in the mid of the 2nd and 3rd tendon with its fibers again dividing and going with them. Macalister reported many variations regarding this muscle but this type of variation is less commonly found. Conclusion: This particular variation is important for a clinical perspective as this extra musculo tendon may cause entrapment syndrome of the median nerve and also for the surgeon to be careful while performing tenoplasty. more...
- Published
- 2021
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29. Das Nervus-suprascapularis-Kompressionssyndrom
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Alexander Schuh, Thomas Eibl, Michael Janka, Wolfgang Hönle, and René Handschu
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030222 orthopedics ,03 medical and health sciences ,Suprascapular nerve entrapment ,0302 clinical medicine ,business.industry ,Medicine ,030229 sport sciences ,General Medicine ,Anatomy ,Suprascapular nerve ,business ,Entrapment syndrome - Abstract
Das Kompressionssyndrom des Nervus suprascapularis ist, obwohl es selten vorkommt, eine wichtige Differenzialdiagnose des Schulterschmerzes. Die Patienten schildern eine Schmerzzunahme beim Liegen auf der betroffenen Korperseite. Die Schmerzen nehmen auch zu, wenn der Arm aktiv oder passiv maximal zur kontralateralen Seite gefuhrt wird. Die Prognose ist bei richtiger und rechtzeitiger Diagnose gut. more...
- Published
- 2017
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30. Peroneal artery entrapment syndrome (PRAES): a rare cause of ischaemic toes
- Author
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W.P. Stuart, Alfred Tan, and Giles Roditi
- Subjects
0301 basic medicine ,Atherosclerotic stenosis ,Male ,medicine.medical_specialty ,Embolism ,Constriction, Pathologic ,030105 genetics & heredity ,Diagnosis, Differential ,03 medical and health sciences ,Entrapment ,0302 clinical medicine ,Internal medicine ,Medicine ,Humans ,cardiovascular diseases ,Aged ,Peroneal Artery ,Peripheral Vascular Diseases ,Leg ,business.industry ,Interosseous membrane ,Vascular disease ,General Medicine ,Syndrome ,Vascular surgery ,Toes ,medicine.disease ,Atherosclerosis ,Entrapment syndrome ,Clopidogrel ,Tibial Arteries ,Cardiology ,business ,030217 neurology & neurosurgery ,Magnetic Resonance Angiography ,Platelet Aggregation Inhibitors ,circulatory and respiratory physiology ,Findings That Shed New Light on the Possible Pathogenesis of a Disease or an Adverse Effect - Abstract
A 75-year-old man presenting with intermittent discolouration of his left toes was referred to vascular surgery with suspicion of embolic vascular disease. A contrast-enhanced MR angiogram was performed which revealed bilateral dominant peroneal arteries (PRAs). There was evidence of short atherosclerotic stenosis directly at the point where the left PRA passes through the tibiofibular interosseous membrane which we postulate to be the source of the emboli. We present what is believed to be the first reported case of PRA entrapment complicated by distal toe emboli. more...
- Published
- 2019
31. The utility of ultrasound examination in cubital tunnel syndrome caused by heterotopic ossification
- Author
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Jakub Jačisko, Kamal Mezian, and Karolína Sobotová
- Subjects
medicine.medical_specialty ,Acoustics and Ultrasonics ,Radiological and Ultrasound Technology ,business.industry ,Ultrasound ,02 engineering and technology ,021001 nanoscience & nanotechnology ,medicine.disease ,Entrapment syndrome ,Surgery ,Cubital tunnel syndrome ,0202 electrical engineering, electronic engineering, information engineering ,medicine ,020201 artificial intelligence & image processing ,Radiology, Nuclear Medicine and imaging ,Heterotopic ossification ,0210 nano-technology ,Ulnar nerve ,business - Abstract
This case presents the utility of ultrasound examination in diagnostics, providing accurate therapy and follow-up of entrapment syndrome of the ulnar nerve, caused by heterotopic ossification. The heterotopic ossifications were in this case presumably linked to a long-term working with a vibration sander. more...
- Published
- 2020
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32. Outcome and Prognosis of Microsurgical Decompression in Idiopathic Severe Common Fibular Nerve Entrapment: Prospective Clinical Study
- Author
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Bilal Tarabay, Pierre Yammine, Youmna Abdallah, Sandra Kobaiter-Maarrawi, and Joseph Maarrawi
- Subjects
musculoskeletal diseases ,Adult ,Male ,medicine.medical_specialty ,Microsurgery ,Sensation ,Fibular nerve ,Context (language use) ,Neurosurgical Procedures ,03 medical and health sciences ,Entrapment ,Young Adult ,0302 clinical medicine ,medicine ,Humans ,Prospective Studies ,Peroneal Neuropathies ,Aged ,Aged, 80 and over ,business.industry ,Peroneal Nerve ,Recovery of Function ,Middle Aged ,Decompression, Surgical ,Prognosis ,Entrapment syndrome ,Surgery ,Conservative treatment ,Treatment Outcome ,Microsurgical decompression ,030220 oncology & carcinogenesis ,Prospective clinical study ,Female ,Neurology (clinical) ,Motor Deficit ,business ,030217 neurology & neurosurgery ,Follow-Up Studies - Abstract
Objective Compression of the common fibular nerve at the level of the fibular neck is considered to be the most frequent lower limb entrapment syndrome, which can be either idiopathic or secondary. Decompressive surgery is indicated only after failure of conservative treatment and/or severe neurologic deficit. The effectiveness of microsurgical decompression has been established only for secondary entrapment syndrome. The aim of this study is to assess the results of microsurgical decompression and establish the prognosis of idiopathic severe common fibular nerve entrapment. Methods Fifteen patients were included in this prospective clinical study and were followed at day 1 after surgery and later at 1, 6, and 12 months. More than half (64.3%) of patients had a total motor deficit (0/5). The median motor function preoperatively was 0/5. The average time of conservative treatment before surgery was 25.7 days (range 5–110 days). One patient refused surgical management. Results Thirteen out of 14 patients who underwent surgery showed significant motor function improvement. The median motor strength at 12 months was 4.5/5. Half of the patients regained normal motor function. The only patient who did not improve had the longest time to surgery interval (110 days). The patient who refused surgery showed no improvement (0/5 at 12 months). Conclusions Microsurgical decompression should be considered early in the context of severe idiopathic common fibular nerve entrapment in order to get a favorable outcome. more...
- Published
- 2018
33. Nerves Around the Shoulder: What the Radiologist Should Know?
- Author
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Viviane Créteur and Afarine Madani
- Subjects
lcsh:Medical physics. Medical radiology. Nuclear medicine ,0301 basic medicine ,medicine.medical_specialty ,Shoulder surgery ,Peripheral neuropathy ,shoulder ,lcsh:R895-920 ,medicine.medical_treatment ,Computed tomography ,Review Article ,Nerve entrapment ,Imaging ,03 medical and health sciences ,Medicine ,Radiology, Nuclear Medicine and imaging ,medicine.diagnostic_test ,business.industry ,Magnetic resonance imaging ,medicine.disease ,Peripheral ,Entrapment syndrome ,Traumatic injury ,030101 anatomy & morphology ,Radiology ,business - Abstract
Peripheral neuropathies of the shoulder are common and could be related to traumatic injury, shoulder surgery, infection or tumour but usually they result from an entrapment syndrome. Imaging plays an important role to detect the underlying causes, to assess the precise topography and the severity of nerve damage. The key points concerning the imaging of nerve entrapment syndrome are the knowledge of the particular topography of the injured nerve, and the morphology as well signal modifications of the corresponding muscles. Magnetic Resonance Imaging best shows these findings, although Ultrasounds and Computed Tomography sometimes allow the diagnosis of neuropathy. more...
- Published
- 2018
34. WITHDRAWN: Commentary to accompany 'After motor vehicle accidents is it thoracic outlet syndrome or ulnar entrapment syndrome? How to make the correct diagnosis'
- Author
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Matthew J. Martin
- Subjects
medicine.medical_specialty ,business.industry ,medicine ,Surgery ,General Medicine ,business ,medicine.disease ,Entrapment syndrome ,Thoracic outlet syndrome - Published
- 2018
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35. Sonographic Diagnosis Of Posterior Interosseous Nerve Entrapment Syndrome
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Hema S. Nallamshetty, Mark S. Rekant, Steven Mandel, Levon N. Nazarian, and Charlene Ong
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medicine.medical_specialty ,ECRB, extensor carpi radialis brevis ,US, ultrasound ,business.industry ,Elbow ,Radial neuropathy ,EXTREMITY MUSCLE WEAKNESS ,medicine.disease ,Article ,Entrapment syndrome ,Surgery ,Entrapment ,Posterior interosseous nerve ,medicine.anatomical_structure ,medicine ,Radiology, Nuclear Medicine and imaging ,Ultrasonography ,business ,MRI, magnetic resonance imaging ,Radial nerve ,PIN, posterior interosseous nerve - Abstract
Posterior interosseous nerve entrapment is a potential cause of upper extremity muscle weakness and pain. The diagnosis may be difficult to make clinically, and electrodiagnostic tests may not identify the exact site of nerve compression. We report a case of posterior interosseous nerve entrapment in which electrodiagnostic studies suggested radial neuropathy at the level of the spiral groove, but the sonographic evaluation pinpointed the arcade of Frohse as the level of compression. The patient’s symptoms improved dramatically following surgical release of the nerve. Sonography may be a valuable, non-invasive diagnostic tool in evaluating patients with posterior interosseous nerve entrapment. more...
- Published
- 2016
36. Median nerve schwannoma: A case and review of literature
- Author
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Praveen S Padasali, V S Shankaregowda, and Shriram D Kshirsagar
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medicine.medical_specialty ,medicine.diagnostic_test ,business.industry ,Ultrasound ,Median nerve ,Case Report ,Magnetic resonance imaging ,General Medicine ,Schwannoma ,medicine.disease ,Surgery ,Benign tumor ,Entrapment syndrome ,Tinel's sign ,medicine.anatomical_structure ,Forearm ,otorhinolaryngologic diseases ,medicine ,medicine.symptom ,business ,schwannoma - Abstract
We report a case of a median nerve schwannoma, a rare type of a benign tumor of Schwann cells that presents as a palpable and painful mass on the flexor aspect of the forearm. Schwannomas of the median nerve make up 0.1–0.3% of all hand tumors. Symptoms are caused by an entrapment syndrome resulting from the growing tumor. Pain is the most common complaint of schwannomas. Imaging studies include computed tomography and magnetic resonance imaging and ultrasound. It is difficult to differentiate schwanommas from neurofibromas solely on the basis of a radiological investigation. Tumors of the median nerve are diagnostically challenging and median nerve schwannomas are rare. Diagnostic pearls are described to facilitate a more accurate and timely diagnosis. These characteristics include mobility, Tinel’s sign, S-100 histological staining, and Antoni patterns. With a correct diagnosis, the tumor can be extirpated with preservation of nerve function and a low risk of recurrence. more...
- Published
- 2015
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37. Methodik und was kann die Nervensonografie
- Author
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T. Schelle
- Subjects
Gynecology ,medicine.medical_specialty ,Peripheral nerve ,business.industry ,Physiology (medical) ,medicine ,High resolution ultrasound ,Neurology (clinical) ,business ,Entrapment syndrome - Abstract
Bildgebende Untersuchungen gewinnen bei der Diagnostik von/Erkrankungen peripherer Nerven zunehmend an Bedeutung. Die hochauflosende Sonografie und das MRT liefern dabei wichtige morphologische Informationen uber Nervenstamme, Nervenwurzeln und den Plexus brachialis. Im Gegensatz zur elektrophysiologischen Untersuchung ermoglichen sie die millimetergenaue Lokalisation der Lasion und geben in vielen Fallen auch Auskunft uber deren Atiologie. Wahrend der letzten Jahre wurden zahlreiche Artikel uber die Anwendung des hochauflosenden Ultraschalls bei der Diagnostik von Engpasssyndromen, traumatischen Nervenverletzungen, Raumforderungen am peripheren Nerven und Polyneuropathien veroffentlicht. Diese Arbeit versucht unter Berucksichtigung der personlichen Erfahrungen des Autors einen Uberblick uber die wichtigsten Entwicklungen auf diesem Feld zu geben. more...
- Published
- 2015
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38. Ischemic brachial artery entrapment syndrome by supracondylar humeral bony spur
- Author
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Ramesh K. Tripathi, Narendranadh Meda, and Himanshu Verma
- Subjects
musculoskeletal diseases ,endocrine system ,medicine.medical_specialty ,business.industry ,Neurovascular bundle ,Pronator teres muscle ,Article ,Median nerve ,Entrapment syndrome ,Surgery ,body regions ,Entrapment ,medicine.anatomical_structure ,hemic and lymphatic diseases ,medicine.artery ,cardiovascular system ,medicine ,Spur ,Humerus ,cardiovascular diseases ,Brachial artery ,Cardiology and Cardiovascular Medicine ,business ,circulatory and respiratory physiology - Abstract
Medial supracondylar spur from the humerus is a rare cause of neurovascular pain of the upper extremity. The spur typically entraps the brachial artery and median nerve, resulting in compression-related symptoms. In advance stages, compression could lead to endothelial damage and thrombotic occlusion of brachial artery. Spur is also associated with an anomalous higher insertion of the pronator teres muscle, which could result in multilevel entrapment of the brachial artery. We report a patient with acute upper limb ischemia secondary to brachial artery compression and distal embolization from a medial supracondylar spur and anomalous attachment of the pronator teres. The entrapped brachial artery and median nerve were released by resection of the spur and of the anomalous belly of the pronator teres with thrombectomy of brachial artery. more...
- Published
- 2015
- Full Text
- View/download PDF
39. Sonographie peripherer Nerven
- Author
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Thomas Schelle
- Subjects
Gynecology ,medicine.medical_specialty ,Peripheral nerve ,business.industry ,Physiology (medical) ,medicine ,High resolution ultrasound ,Neurology (clinical) ,business ,Pathology and Forensic Medicine ,Entrapment syndrome - Abstract
Zusammenfassung Die Anwendungsmoglichkeiten des hochauflosenden Ultraschalles fur die Diagnostik und Therapie peripherer Nervenerkrankungen haben innerhalb der letzten zehn Jahre deutlich zugenommen. Durch die Tatsache, dass sich damit einzelne Nervenfaszikel und die umgebenden Hullgewebe abbilden lassen, wird die Diagnostik von Engpasssyndromen, traumatischen Nervenverletzungen, Nervenscheidentumoren und Polyneuropathien ermoglicht. In Erganzung zur elektrophysiologischen Untersuchung liefert diese neue Methode wichtige morphologische Zusatzinformationen uber den peripheren Nerven oder die Nervenwurzeln des Plexus brachialis wie zum Beispiel die exakte Lokalisation der Lasion und deren Ursache. Auserdem kann der hochauflosende Ultraschall fur sonografiegefuhrte therapeutische Interventionen angewendet werden, wodurch sich unerwunschte Nebenwirkungen reduzieren und die Ansprechraten erhohen lassen. more...
- Published
- 2015
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40. Bulky accessory brachialis muscle with abnormal aponeurosis: A case report
- Author
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Venumadhav Nelluri, Jyothsna Patil, Naveen Kumar, Satheesha B Nayak, and Ravindra S Swamy
- Subjects
Right forearm ,business.industry ,lcsh:R ,Brachialis muscle ,Elbow ,lcsh:Medicine ,General Medicine ,Anatomy ,Entrapment syndrome ,body regions ,medicine.anatomical_structure ,medicine.artery ,Rare case ,medicine ,Aponeurosis ,Deep fascia ,Radial artery ,business - Abstract
The brachialis muscle is one of the chief flexors of the upper arm, and its variation can affect the movements of the elbow joint. This case report presents a rare case of a large accessory brachialis muscle in the right arm that comes with an abnormal aponeurosis. The aponeurosis from the distal part of the aberrant muscle arches over the radial artery and is attached to the deep fascia of the right forearm. While rare, the presence of an accessory brachialis muscle coupled with the unusual aponeurosis can lead to compression of the radial artery, causing radial artery entrapment syndrome and creating potential difficulties in the catheterisation of the radial artery. more...
- Published
- 2016
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41. Modified Infiltration Technique for Cutaneous Nerve Entrapment Syndrome
- Author
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Sody A. Naimer
- Subjects
medicine.medical_specialty ,Environmental Engineering ,Peripheral nerve entrapment ,business.industry ,Cutaneous nerve ,Soft tissue ,Abdominal cavity ,medicine.disease ,Industrial and Manufacturing Engineering ,Entrapment syndrome ,Effective solution ,Surgery ,Abdominal wall ,medicine.anatomical_structure ,medicine ,business ,Infiltration (medical) - Abstract
Lateral thoracic or abdominal cutaneous nerve entrapment syndrome (C.N.E.S.) refers to the pain originating from thoracic or abdominal wall. It is a common ailment which is often misdiagnosed as arising from a source inside the abdominal cavity mistakenly leading to inappropriate diagnostic investigations, unsatisfactory treatment, and considerable costs. The thoracoabdominal nerves terminate as the cutaneous nerves at a point from which accessory branches are given off in the rectus channel ending in the skin. Peripheral nerve entrapment occurs at anatomic sites where the nerve changes direction to enter a fibrous or osseofibrous tunnel because mechanically induced irritation is most likely to occur at these locations. Controlled investigations demonstrate that satisfactory alleviation is to be gained by immediate intervention by the most widely adopted technique of a fanning infiltration of the region of maximal point of tenderness with anesthetic and anti-inflammatory agents. Unfortunately, we observe that clinicians inexperienced performing this procedure are deterred from this technique owing to fears of inaccurate medication deposition or penetrating the abdominal cavity and perforating viscera. In this paper we describe a method to provide a safe and accurately targeted injection precisely at the necessary location without risking iatrogenic harm. This is easily achieved by raising a mound of the superficial soft tissue at the point of maximal tenderness and inserting the needle oriented Method Article Naimer; BJMMR, 7(8): 672-677, 2015; Article no.BJMMR.2015.375 673 parallel to the surface of the anterior body surface. Adoption of this method provides a simple, safe and effective solution for C.N.E.S. and will allow recruiting more physicians to join the circle of those actively treating this condition. more...
- Published
- 2015
- Full Text
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42. Unusual Variation of the Biceps Brachii with Possible Median Nerve Entrapment
- Author
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Radovan Hudák and Danylo Yershov
- Subjects
Male ,medicine.medical_specialty ,Median Neuropathy ,Median nerve ,lcsh:Medicine ,Dissection (medical) ,Biceps ,Coracoid process ,medicine.artery ,medicine ,Cadaver ,Humans ,Humerus ,Brachial artery ,Muscle, Skeletal ,Aged ,lcsh:R5-920 ,Biceps reflex ,business.industry ,Dissection ,Nerve Compression Syndromes ,lcsh:R ,Entrapment syndrome ,General Medicine ,Anatomy ,Biceps brachii ,medicine.disease ,Surgery ,medicine.anatomical_structure ,Arm ,Upper limb ,Third head ,business ,lcsh:Medicine (General) - Abstract
The biceps brachii is one of three muscles of the anterior compartment of arm. Variations of the biceps brachii are not rare. The most frequent is the existence of a third head called the humeral head by Le Double (1897) (Rodríguez-Vázquez et al., 1999). Our article is based on the unexpected result of a routine dissection class held for medical students. Dissection was performed according to the guidelines accepted by the anatomy department (Seichert, 1999). We describe a third (accessory) head of the biceps brachii. In addition of two regular heads, the third head originated together with the short head from the coracoid process and had three insertions on the humerus after enfolding the median nerve and the brachial artery. This particular variation is important from a clinical perspective as the third head may cause entrapment syndrome of the median nerve and hypoperfusion of the upper limb due to compression of the brachial artery. more...
- Published
- 2015
43. USG-guided diagnostic block and hydro dissection for spinal accessory nerve entrapment syndrome
- Author
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Sukhdeo Satyanarayan Gupta, Sayan Manna, Hari Poudel, Gautam Das, and HA Bhavya Reddy
- Subjects
Weakness ,medicine.medical_specialty ,Accessory nerve ,business.industry ,Pain relief ,Entrapment syndrome ,Surgery ,Dissection ,Entrapment ,medicine.anatomical_structure ,Shoulder girdle ,Medicine ,medicine.symptom ,business ,Posterior triangle of the neck - Abstract
Spinal accessory nerve entrapment is difficult to diagnose due to its overlapping clinical features with other common diseases and nerve entrapments. It severely affects the life of an individual as normal neuronal physiology of the nerve is important for proper functioning and stability of the shoulder girdle. The patient develops symptoms like pain over the shoulder and neck, drooping of the shoulder, and weakness of overhead abduction of the arm. Ultrasound-guided block of this nerve has been described in the literature, but hydro-dissection using ultrasound as treatment has not been described yet. We have reported a case of spinal accessory nerve entrapment following sebaceous cyst excision in the posterior neck which was diagnosed clinically and confirmed using ultrasound-guided block and managed simultaneously by hydro-dissection. A case of 56 years female who underwent sebaceous cyst excision in the posterior triangle of the neck on the right side in May 2016. After 6 weeks of surgery, the patient developed pain in the right shoulder and gradually developed weakness in the overhead abduction of the arm. She went from one hospital to another for her pain relief but her pain remained undiagnosed and untreated. She came to Daradia Pain Hospital with complaint of pain in her right shoulder. more...
- Published
- 2020
- Full Text
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44. Les syndromes canalaires au pied
- Author
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Pierre Bouche and Joël Damiano
- Subjects
Gynecology ,medicine.medical_specialty ,medicine.anatomical_structure ,Rheumatology ,business.industry ,medicine ,Tarsal tunnel ,business ,Morton Neuroma ,Entrapment syndrome - Abstract
Resume Les syndromes canalaires au pied sont tres rares. Le plus connu est le syndrome du tunnel tarsien. Il correspond a la compression du nerf tibial, sous le ligament retinaculum des flechisseurs a la cheville, ou de ses branches terminales. Il ne s’agit pas a proprement parler d’un veritable syndrome canalaire idiopathique comme pour le syndrome du canal carpien. Il resulte le plus souvent de lesions post-traumatiques ou de deformations du pied. Les formes idiopathiques existent, mais pour certains, restent de realite discutable. Le diagnostic en est souvent difficile. L’examen electroneuromyographique est de loin moins performant que pour le nerf median au canal carpien. Les autres syndromes canalaires sont encore plus rares. Il peut s’agir des branches terminales du nerf tibial : plantaire medial et lateral, des nerfs calcaneens, des extremites distales des nerfs fibulaires profonds et superficiels. Le nevrome de Morton peut y etre rattache. more...
- Published
- 2014
- Full Text
- View/download PDF
45. Das Tarsaltunnelsyndrom
- Author
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René Handschu, Alexander Schuh, Wolfgang Hönle, Michael Janka, and Thomas Eibl
- Subjects
Conservative treatment ,medicine.medical_specialty ,medicine.anatomical_structure ,business.industry ,medicine ,General Medicine ,Tarsal tunnel syndrome ,Tarsal tunnel ,medicine.disease ,Tibial nerve ,business ,Surgery ,Entrapment syndrome - Published
- 2018
- Full Text
- View/download PDF
46. Popliteal artery entrapment syndrome as a cause of failed treatment of a false popliteal aneurysm
- Author
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Xitao Song, Lei Tang, Zhili Liu, Yuexin Chen, Mengxin Zhou, and Yuehong Zheng
- Subjects
Male ,Medicine (General) ,Special Issue: Rare Diseases: Advances in Diagnosis, Prevention, Treatment and Management ,medicine.medical_specialty ,popliteal artery entrapment syndrome ,Popliteal artery ,Arterial Occlusive Diseases ,030204 cardiovascular system & hematology ,Biochemistry ,Popliteal aneurysm ,03 medical and health sciences ,R5-920 ,0302 clinical medicine ,Aneurysm ,medicine.artery ,Rare case ,Humans ,Medicine ,cardiovascular diseases ,030212 general & internal medicine ,business.industry ,Biochemistry (medical) ,Cell Biology ,General Medicine ,Popliteal artery entrapment syndrome ,Middle Aged ,medicine.disease ,Surgery ,Entrapment syndrome ,medicine.anatomical_structure ,Bypass surgery ,stents ,bypass surgery ,limb ischemia ,business ,Aneurysm, False ,Artery - Abstract
Objective Popliteal artery entrapment syndrome is a rare cause of popliteal artery aneurysms. We present a rare case of a false aneurysm associated with popliteal artery entrapment syndrome that was treated with endovascular repair that initially failed. Case report A 60-year-old man with a false popliteal artery aneurysm and limb ischemia was treated with endovascular repair that initially failed. The popliteal artery was suspected to be compressed by an abnormal bundle of muscle according to the findings of a subsequent magnetic resonance imaging examination. The popliteal artery was entrapped by an abnormal slip of the medial gastrocnemius muscle head. Parts of the popliteus muscle were also involved in compression of the popliteal artery, which was not distinguished on preoperative magnetic resonance imaging. Thus, the patient was diagnosed with a mixed type of popliteal artery entrapment syndrome (types III and IV). Bypass with the small saphenous vein was then performed. The patient was finally discharged with satisfactory relief of his ischemic symptoms. Conclusion Popliteal artery entrapment syndrome should be considered before treating popliteal artery aneurysms, especially atypical pseudoaneurysms without significant atherosclerosis. Definitive surgical management rather than endoluminal treatment is required unless combined with open decompressive surgery to correct the musculotendinous anatomy. more...
- Published
- 2019
- Full Text
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47. VESS25. An Unusual Case of Renal Vein Entrapment Syndrome
- Author
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Ponraj Chinnadurai, Alan B. Lumsden, Charudatta S. Bavare, and Ali Irshad
- Subjects
medicine.medical_specialty ,Unusual case ,business.industry ,medicine ,Surgery ,Renal vein ,Cardiology and Cardiovascular Medicine ,business ,Entrapment syndrome - Published
- 2019
- Full Text
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48. Neuralgic Amyotrophy Manifesting as Mimicking Posterior Interosseous Nerve Palsy
- Author
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Suk Hyung Kang, Eun Hi Choi, Jin Seo Yang, and Yong Jun Cho
- Subjects
Brachial Plexus Neuritis ,medicine.medical_specialty ,Palsy ,business.industry ,General Neuroscience ,Magnetic resonance neurography ,Entrapment syndrome ,Case Report ,Anatomy ,Neuralgic amyotrophy ,Brachial plexus neuritis ,Surgery ,medicine.anatomical_structure ,Posterior interosseous nerve ,Upper trunk ,Shoulder girdle ,medicine ,Neurology (clinical) ,medicine.symptom ,business ,Brachial plexus ,Paresis - Abstract
The upper trunk of the brachial plexus is the most common area affected by neuralgic amyotrophy (NA), and paresis of the shoulder girdle muscle is the most prevalent manifestation. Posterior interosseous nerve palsy is a rare presentation in patients with NA. It results in dropped finger on the affected side and may be misdiagnosed as entrapment syndrome or compressive neuropathy. We report an unusual case of NA manifested as PIN palsy and suggest that knowledge of clinical NA phenotypes is crucial for early diagnosis of peripheral nerve palsies. more...
- Published
- 2015
49. Entrapment syndrome of multiple nerves in graft-versus-host disease
- Author
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Elisabeth Huber, Wilhelm Schulte-Mattler, Ingo Kleiter, Peter D. Kraus, P. Poeschl, Ernst Holler, Josef Schroder, and Daniel Wolff
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medicine.medical_specialty ,Physiology ,business.industry ,medicine.disease ,Myotonia ,Entrapment syndrome ,Cellular and Molecular Neuroscience ,Endocrinology ,Erythromelalgia ,Physiology (medical) ,Anesthesia ,Internal medicine ,Neuropathic pain ,medicine ,Paroxysmal extreme pain disorder ,Missense mutation ,Neurology (clinical) ,business ,Polyneuropathy ,Congenital insensitivity to pain - Abstract
5. Cox JJ, Sheynin J, Shorer Z, Reimann F, Nicholas AK, Zubovic L,et al. Congenital insensitivity to pain: novel SCN9A missense andin-frame deletion mutations. Hum Mutat 2010;31:E1670–1686.6. Drenth JP, Waxman SG. Mutations in sodium-channel gene SCN9Acause a spectrum of human genetic pain disorders. J Clin Invest2007;117:3603–3609.7. Han C, Hoeijmakers JG, Ahn HS, Zhao P, Shah P, Lauria G, et al.Nav1.7-related small fiber neuropathy: impaired slow-inactivation andDRG neuron hyperexcitability. Neurology 2012;78:1635–1643.8. Han C, Dib-Hajj SD, Lin Z, Li Y, Eastman EM, Tyrrell L, et al. Early-and late-onset inherited erythromelalgia: genotype–phenotype corre-lation. Brain 2009;132:1711–1722.9. Ahn HS, Dib-Hajj SD, Cox JJ, Tyrrell L, Elmslie FV, Clarke AA, et al.A new Nav1.7 sodium channel mutation I234T in a child with severepain. Eur J Pain 2010;14:944–950.10. Estacion M, Dib-Hajj SD, Benke PJ, Te Morsche RH, Eastman EM,Macala LJ, et al. NaV1.7 gain-of-function mutations as a continuum:A1632E displays physiological changes associated with erythromelal-gia and paroxysmal extreme pain disorder mutations and producessymptoms of both disorders. J Neurosci 2008;28:11079–11088.11. Fukuoka T, Noguchi K. Comparative study of voltage-gated sodiumchannel alpha-subunits in non-overlapping four neuronal popula-tions in the rat dorsal root ganglion. Neurosci Res 2011;70:164–171.12. Cook-Norris RH, Tollefson MM, Cruz-Inigo AE, Sandroni P, DavisMD, Davis DM. Pediatric erythromelalgia: a retrospective review of 32cases evaluated at Mayo Clinic over a 37-year period. J Am Acad Der-matol 2012;66:416–423.13. Rossignol E, Mathieu J, Thiffault I, Tetreault M, Dicaire MJ,Chrestian N, et al. A novel founder SCN4A mutation causes painfulcold-induced myotonia in French-Canadians. Neurology 2007;69:1937–1941.14. Morinville A, Fundin B, Meury L, Jureus A, Sandberg K, Krupp J,et al. Distribution of the voltage-gated sodium channel Na(v)1.7 inthe rat: expression in the autonomic and endocrine systems. J CompNeurol 2007;504:680–689.15. Segerdahl AR, Xie J, Paterson K, Ramirez JD, Tracey I, Bennett DL.Imaging the neural correlates of neuropathic pain and pleasurablerelief associated with inherited erythromelalgia in a single subjectwith quantitative arterial spin labelling. Pain 2012;53:1122–1127. more...
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- 2013
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50. Clinical Characteristics of Peroneal Nerve Palsy by Posture
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Jin Seo Yang, Suk Hyung Kang, Jeong Keun Yu, and Yong-Jun Cho
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medicine.medical_specialty ,Foot drop ,Palsy ,Clinical Article ,medicine.diagnostic_test ,business.industry ,General Neuroscience ,Entrapment syndrome ,Retrospective cohort study ,Sitting ,Peroneal nerve ,Physical therapy ,Nerve conduction study ,Medicine ,Squatting position ,Surgery ,Neurology (clinical) ,medicine.symptom ,business ,Radiculopathy ,Common peroneal nerve ,Foot (unit) - Abstract
Objective Posture induced common peroneal nerve (CPN) palsy is usually produced during the prolonged squatting or habitual leg crossing while seated, especially in Asian culture and is manifested by the onset of foot drop. Because of its similarity to discogenic foot drop, patients may be diagnosed with a lumbar disc disorder, and in some patients, surgeons may perform unnecessary examinations and even spine surgery. The purpose of our study is to establish the clinical characteristics and diagnostic assessment of posture induced CPN palsy. Methods From June 2008 to June 2012, a retrospective study was performed on 26 patients diagnosed with peroneal nerve palsy in neurophysiologic study among patients experiencing foot drop after maintaining a certain posture for a long time. Results The inducing postures were squatting (14 patients), sitting cross-legged (6 patients), lying down (4 patients), walking and driving. The mean prolonged neural injury time was 124.2 minutes. The most common clinical presentation was foot drop and the most affected sensory area was dorsum of the foot with tingling sensation (14 patients), numbness (8 patients), and burning sensation (4 patients). The clinical improvement began after a mean 6 weeks, which is not related to neural injury times. Electrophysiology evaluation was performed after 2 weeks later and showed delayed CPN nerve conduction study (NCS) in 24 patients and deep peroneal nerve in 2 patients. Conclusion We suggest that an awareness of these clinical characteristics and diagnostic assessment methods may help clinicians make a diagnosis of posture induced CPN palsy and preclude unnecessary studies or inappropriate treatment in foot drop patients. more...
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- 2013
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