Compression Neuropathies of the Upper Extremity: A Review
| Autor: | Nikhi P. Singh, Sheel Sharma, Carter J. Boyd, Joseph X. Robin |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
anterior interosseous syndrome
medicine.medical_specialty RD1-811 medicine.diagnostic_test business.industry carpal tunnel syndrome Radial tunnel syndrome Physical examination pronator syndrome medicine.disease compressive neuropathies Surgery Anterior interosseous syndrome medicine.anatomical_structure cubital tunnel syndrome Forearm Ulnar tunnel syndrome Medicine Ulnar nerve business Carpal tunnel syndrome ligament of Struthers syndrome Radial nerve |
| Zdroj: | Surgeries, Vol 2, Iss 32, Pp 320-334 (2021) |
| ISSN: | 2673-4095 |
| DOI: | 10.3390/surgeries2030032 |
| Popis: | Compressive neuropathies of the forearm are common and involve structures innervated by the median, ulnar, and radial nerves. A thorough patient history, occupational history, and physical examination can aid diagnosis. Electromyography, X-ray, and Magnetic Resonance Imaging may prove useful in select syndromes. Generally, first line therapy of all compressive neuropathies consists of activity modification, rest, splinting, and non-steroidal anti-inflammatory drugs. Many patients experience improvement with conservative measures. For those lacking adequate response, steroid injections may improve symptoms. Surgical release is the last line therapy and has varied outcomes depending on the compression. Carpal Tunnel syndrome (CTS) is the most common, followed by ulnar tunnel syndrome. Open and endoscopic CTS release appear to have similar outcomes. Endoscopic release appears to incur decreased cost baring a low rate of complications, although this is debated in the literature. Additional syndromes of median nerve compression include pronator syndrome (PS), anterior interosseous syndrome, and ligament of Struthers syndrome. Ulnar nerve compressive neuropathies include cubital tunnel syndrome and Guyon’s canal. Radial nerve compressive neuropathies include radial tunnel syndrome and Wartenberg’s syndrome. The goal of this review is to provide all clinicians with guidance on diagnosis and treatment of commonly encountered compressive neuropathies of the forearm. |
| Databáze: | OpenAIRE |
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