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[PMID]:29480857
[Au] Autor:Shi M; Qi H; Ding H; Chen F; Xin Z; Zhao Q; Guan S; Shi H
[Ad] Endereço:Department of Ultrasound, Qianfoshan Hospital Affiliated to Shandong University, Jinan.
[Ti] Título:Electrophysiological examination and high frequency ultrasonography for diagnosis of radial nerve torsion and compression.
[So] Source:Medicine (Baltimore);97(2):e9587, 2018 Jan.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This study aims to evaluate the value of electrophysiological examination and high frequency ultrasonography in the differential diagnosis of radial nerve torsion and radial nerve compression.Patients with radial nerve torsion (n = 14) and radial nerve compression (n = 14) were enrolled. The results of neurophysiological and high frequency ultrasonography were compared.Electrophysiological examination and high-frequency ultrasonography had a high diagnostic rate for both diseases with consistent results. Of the 28 patients, 23 were positive for electrophysiological examination, showing decreased amplitude and decreased conduction velocity of radial nerve; however, electrophysiological examination cannot distinguish torsion from compression. A total of 27 cases showed positive in ultrasound examinations among all 28 cases. On ultrasound images, the nerve was thinned at torsion site whereas thickened at the distal ends of torsion. The diameter and cross-sectional area of torsion or compression determined the nerve damage, and ultrasound could locate the nerve injury site and measure the length of the nerve.Electrophysiological examination and high-frequency ultrasonography can diagnose radial neuropathy, with electrophysiological examination reflecting the neurological function, and high-frequency ultrasound differentiating nerve torsion from compression.
[Mh] Termos MeSH primário: Eletrodiagnóstico
Síndromes de Compressão Nervosa/diagnóstico
Nervo Radial/diagnóstico por imagem
Nervo Radial/fisiopatologia
Neuropatia Radial/diagnóstico
Ultrassonografia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Diagnóstico Diferencial
Feminino
Seres Humanos
Masculino
Síndromes de Compressão Nervosa/fisiopatologia
Síndromes de Compressão Nervosa/cirurgia
Condução Nervosa
Nervo Radial/cirurgia
Neuropatia Radial/fisiopatologia
Neuropatia Radial/cirurgia
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180227
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009587


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[PMID]:29169591
[Au] Autor:Chang G; Ilyas AM
[Ad] Endereço:Rothman Institute at Thomas Jefferson University, 925 Chestnut Street, Philadelphia, PA 19107, USA. Electronic address: gerard.chang@gmail.com.
[Ti] Título:Radial Nerve Palsy After Humeral Shaft Fractures: The Case for Early Exploration and a New Classification to Guide Treatment and Prognosis.
[So] Source:Hand Clin;34(1):105-112, 2018 02.
[Is] ISSN:1558-1969
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Radial nerve palsies are a common complication associated with humeral shaft fractures. The authors propose classifying these injuries into 4 types based on intraoperative findings: type 1 stretch/neuropraxia, type 2 incarcerated, type 3 partial transection, and type 4 complete transection. The initial management of radial nerve palsies associated with closed fractures of the humerus remains a controversial topic, with early exploration reserved for open fractures, fractures that cannot achieve an adequate closed reduction requiring fracture repair, fractures with associated vascular injuries, and polytrauma patients. Outside of these recommendations, expectant observation for spontaneous recovery is recommended.
[Mh] Termos MeSH primário: Fraturas do Úmero/complicações
Fraturas do Úmero/cirurgia
Neuropatia Radial/classificação
Neuropatia Radial/cirurgia
[Mh] Termos MeSH secundário: Fixação Interna de Fraturas/efeitos adversos
Seres Humanos
Prognóstico
Nervo Radial/anatomia & histologia
Neuropatia Radial/diagnóstico
Neuropatia Radial/etiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1712
[Cu] Atualização por classe:180303
[Lr] Data última revisão:
180303
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171125
[St] Status:MEDLINE


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[PMID]:29182131
[Au] Autor:Begovic N; Paunovic Z; Djuraskovic Z; Lazovic L; Mijovic T; Babic S
[Ti] Título:Lateral pinning versus others procedures in the treatment of supracondylar humerus fractures in children.
[So] Source:Acta Orthop Belg;82(4):866-871, 2016 Dec.
[Is] ISSN:0001-6462
[Cp] País de publicação:Belgium
[La] Idioma:eng
[Ab] Resumo:We compared results of lateral pinning procedure with crossed pinning, closed reduction, and open reduction in a retrospective review of 184 patients with displaced supracondylar humeral fractures. All patients had a minimum of 2 years follow-up (range 36-90 months). Patients were separated into 4 groups. Success was estimated by Flynn's criteria. We compared success of the lateral pinning to others procedures. Incidence of nerve palsy was recorded and compared. Esthetic effect of lateral pinning is significantly better than closed reduction (p=0.0007), but no significant difference was found comparing with cross pinning and open reduction. Elbow function was similar. Cross pinning procedure was followed with ulnar nerve palsy in ten patients (20.8%). There was 1 case (5%) of combined nerve palsy including ulnar, median and radial nerve after open reduction procedure. Lateral pinning is safe and effective method of therapy for Gartland type II and III supracondylar humeral fractures.
[Mh] Termos MeSH primário: Pinos Ortopédicos
Articulação do Cotovelo/lesões
Fixação Interna de Fraturas/métodos
Fraturas do Úmero/cirurgia
Doenças do Sistema Nervoso Periférico/epidemiologia
Complicações Pós-Operatórias/epidemiologia
[Mh] Termos MeSH secundário: Adolescente
Criança
Pré-Escolar
Redução Fechada/métodos
Articulação do Cotovelo/cirurgia
Feminino
Seres Humanos
Incidência
Masculino
Neuropatia Mediana/epidemiologia
Redução Aberta/métodos
Neuropatia Radial/epidemiologia
Estudos Retrospectivos
Neuropatias Ulnares/epidemiologia
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171228
[Lr] Data última revisão:
171228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE


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[PMID]:28120090
[Au] Autor:Stevanato G; Monteleone G; Sgubin D; Sicolo M; Pastorello G; Vazzana L; Guida F
[Ad] Endereço:Neurosurgery Unit, Dell'Angelo Hospital, Via Paccagnella 11, Mestre-Venezia, 30172, Italy. giorgio.stevanato@ulss12.ve.it.
[Ti] Título:Radioguided Occult Lesion Localization in Deep Schwannomas of the Peripheral Nerves: Results of a Preliminary Case Series.
[So] Source:Acta Neurochir Suppl;124:315-318, 2017.
[Is] ISSN:0065-1419
[Cp] País de publicação:Austria
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The detection of small deep schwannomas of the peripheral nerves has been increasing since the the use of precise neuroimaging techniques has become more widespread; however, although nonpalpable lesions can be well defined by images, it is often difficult to identify them during the surgical procedure. The authors report seven cases of nonpalpable small deep schwannomas surgically treated after their identification using the radioguided occult lesion localization (ROLL) technique. METHODS: Seven men, whose ages ranged from 34 to 70 years (mean 52 years), presented with symptomatic nonpalpable peripheral nerve lesions; two cases involved the sciatic nerve, two the femoral nerve, two the radial nerve, and one the tibial nerve. Before the operation, all the patients were studied by ultrasonography and magnetic resonance imaging (MRI); 1 h before the surgery 3-5 MBq of Tc labeled with human albumin macroaggregates was injected into the lesion. A gamma detection probe permitted the preoperative and intraoperative detection of the nonpalpable schwannomas. CONCLUSIONS: The ROLL technique provides good support for identifying small lesions of the peripheral nerves both preoperatively and intraoperatively. This technique permits the use of minimally invasive approaches performed with local anesthesia, with good cosmetic results and acceptance by the patients.
[Mh] Termos MeSH primário: Neuropatia Femoral/cirurgia
Neurilemoma/cirurgia
Neoplasias do Sistema Nervoso Periférico/cirurgia
Neuropatia Radial/cirurgia
Neuropatia Ciática/cirurgia
Neuropatia Tibial/cirurgia
[Mh] Termos MeSH secundário: Adulto
Idoso
Feminino
Neuropatia Femoral/diagnóstico por imagem
Seres Humanos
Masculino
Meia-Idade
Neurilemoma/diagnóstico por imagem
Procedimentos Neurocirúrgicos
Neoplasias do Sistema Nervoso Periférico/diagnóstico por imagem
Neuropatia Radial/diagnóstico por imagem
Compostos Radiofarmacêuticos
Neuropatia Ciática/diagnóstico por imagem
Agregado de Albumina Marcado com Tecnécio Tc 99m
Neuropatia Tibial/diagnóstico por imagem
Ultrassonografia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Radiopharmaceuticals); 0 (Technetium Tc 99m Aggregated Albumin)
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170126
[St] Status:MEDLINE
[do] DOI:10.1007/978-3-319-39546-3_46


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[PMID]:28065869
[Au] Autor:Nachef N; Bariatinsky V; Sulimovic S; Fontaine C; Chantelot C
[Ad] Endereço:Université Lille-Nord-de-France, 2, avenue Oscar-Lambret, 59037 Lille, France; Service d'orthopédie B, hôpital Salengro, CHRU de Lille, place de Verdun, 59037 Lille cedex, France. Electronic address: nadinenachef@hotmail.fr.
[Ti] Título:Predictors of radial nerve palsy recovery in humeral shaft fractures: A retrospective review of 17 patients.
[So] Source:Orthop Traumatol Surg Res;103(2):177-182, 2017 Apr.
[Is] ISSN:1877-0568
[Cp] País de publicação:France
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Radial nerve injury is common in humeral shaft fractures and fails to recover spontaneously in 30% of cases. Few studies have evaluated predictors of recovery. The objectives of this study were to identify predictors of radial nerve palsy recovery and to assess the usefulness of surgical radial nerve exploration in patients with preoperative radial nerve palsy. HYPOTHESIS: Factors predicting the outcome of radial nerve palsy can be identified. METHODS: Of 373 patients with humeral shaft fractures between 2005 and 2012, 43 had radial nerve palsy, including 23 who were lost to follow-up and 17 who were evaluated retrospectively at a mean of 26 months (range, 12-84 months) after internal fixation. The following were studied: age, smoking history, energy of the trauma, fracture type and displacement, skin integrity and intra-operative appearance of the radial nerve. RESULTS: Of the 17 palsies, 13 were present preoperatively, including 10 that recovered (PreR group) and 3 that did not recover (PreNR group). Plate fixation and radial nerve exploration were performed in all patients. Of the 10 PreR patients, 6 had nerve contusion and 2-nerve entrapment. Of the 3 PreNR patients, 2 had gross nerve damage and 1 nerve contusion and a history of spinal muscular atrophy. Only age and presence of gross nerve damage differed significantly between the PreR and PreNR groups; trends towards significant differences were noted for skin breach and fracture displacement. Of the 4 postoperative radial nerve palsies, 2 recovered fully and 2 partially; mean age was higher in the 2 patients with partial recovery. DISCUSSION: These findings are consistent with the few previous studies of outcome predictors in radial nerve palsy. Factors such as major fracture displacement and high-grade skin wounds probably promote the occurrence of gross nerve lesions. The high incidence of nerve entrapment and stretching supports routine nerve exploration during internal fixation in patients with preoperative radial nerve palsy. LEVEL OF EVIDENCE: IV, retrospective study with no control group.
[Mh] Termos MeSH primário: Fraturas do Úmero/complicações
Nervo Radial/lesões
Neuropatia Radial/etiologia
Neuropatia Radial/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Fatores Etários
Placas Ósseas
Feminino
Fixação Interna de Fraturas
Seres Humanos
Fraturas do Úmero/cirurgia
Masculino
Meia-Idade
Síndromes de Compressão Nervosa/etiologia
Prognóstico
Nervo Radial/cirurgia
Estudos Retrospectivos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171012
[Lr] Data última revisão:
171012
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170110
[St] Status:MEDLINE


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[PMID]:28055316
[Au] Autor:Vavken P
[Ad] Endereço:1 alphaclinic Zürich.
[Ti] Título:Wenn ein Tennisarm kein Tennisarm ist … Differenzialdiagnosen des lateralen Ellbogenschmerzes..
[So] Source:Praxis (Bern 1994);106(1):29-36, 2017 Jan.
[Is] ISSN:1661-8157
[Cp] País de publicação:Switzerland
[La] Idioma:ger
[Mh] Termos MeSH primário: Artralgia/etiologia
Articulação do Cotovelo
Cotovelo de Tenista/diagnóstico
[Mh] Termos MeSH secundário: Artralgia/terapia
Artroscopia
Vértebras Cervicais
Diagnóstico Diferencial
Articulação do Cotovelo/lesões
Articulação do Cotovelo/inervação
Fraturas Ósseas/diagnóstico
Fraturas Ósseas/terapia
Seres Humanos
Instabilidade Articular/diagnóstico
Instabilidade Articular/terapia
Imagem por Ressonância Magnética
Síndromes de Compressão Nervosa/diagnóstico
Síndromes de Compressão Nervosa/terapia
Osteocondrite Dissecante/diagnóstico
Osteocondrite Dissecante/terapia
Neuropatia Radial/diagnóstico
Neuropatia Radial/terapia
Radiculopatia/diagnóstico
Radiculopatia/terapia
Cotovelo de Tenista/terapia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170621
[Lr] Data última revisão:
170621
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170106
[St] Status:MEDLINE
[do] DOI:10.1024/1661-8157/a002572


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[PMID]:27902538
[Au] Autor:Strohl AB; Zelouf DS
[Ad] Endereço:From the Philadelphia Hand Center (Dr. Strohl), and the Thomas Jefferson University Hospital, Philadelphia, PA (Dr. Zelouf).
[Ti] Título:Ulnar Tunnel Syndrome, Radial Tunnel Syndrome, Anterior Interosseous Nerve Syndrome, and Pronator Syndrome.
[So] Source:J Am Acad Orthop Surg;25(1):e1-e10, 2017 Jan.
[Is] ISSN:1940-5480
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:In addition to the more common carpal tunnel and cubital tunnel syndromes, orthopaedic surgeons must recognize and manage other potential sites of peripheral nerve compression. The distal ulnar nerve may become compressed as it travels through the wrist, which is known as ulnar tunnel or Guyon canal syndrome. The posterior interosseous nerve may become entrapped in the proximal forearm as it travels through the radial tunnel, which results in a pain syndrome without motor weakness. The median nerve may become entrapped in the proximal forearm, which can result in a variety of symptoms. Spontaneous neuropathy of the anterior interosseous nerve of the median nerve can be observed without external compression. Electrodiagnostic and imaging studies may aid surgeons in the diagnosis of these syndromes; however, a thorough physical examination is paramount to localize compressed segments of these nerves. An understanding of the anatomy of each of these nerve areas allows practitioners to appreciate a patient's clinical findings and helps guide surgical decompression.
[Mh] Termos MeSH primário: Neuropatia Mediana
Síndromes de Compressão Nervosa
Neuropatia Radial
Síndromes de Compressão do Nervo Ulnar
[Mh] Termos MeSH secundário: Descompressão Cirúrgica/métodos
Antebraço/inervação
Seres Humanos
Nervo Mediano/fisiopatologia
Neuropatia Mediana/diagnóstico
Neuropatia Mediana/cirurgia
Síndromes de Compressão Nervosa/diagnóstico
Síndromes de Compressão Nervosa/cirurgia
Exame Físico
Neuropatia Radial/diagnóstico
Neuropatia Radial/cirurgia
Nervo Ulnar/fisiopatologia
Síndromes de Compressão do Nervo Ulnar/diagnóstico
Síndromes de Compressão do Nervo Ulnar/cirurgia
Punho/inervação
[Pt] Tipo de publicação:LECTURES
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161201
[St] Status:MEDLINE
[do] DOI:10.5435/JAAOS-D-16-00010


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[PMID]:27812728
[Au] Autor:Jacoby B; Wasylewski K; Zinser W
[Ad] Endereço:Abteilung für Orthopädie und Unfallchirurgie, St.Vinzenz-Hospital, Dr.-Otto-Seidel-Str. 31-33, 46535, Dinslaken, Deutschland. dr.jac@gmx.de.
[Ti] Título:[Regeneration of a radial nerve after compression under an osteosynthesis plate].
[Ti] Título:Regeneration eines Nervus radialis unter einer Osteosyntheseplatte..
[So] Source:Unfallchirurg;120(3):257-261, 2017 Mar.
[Is] ISSN:1433-044X
[Cp] País de publicação:Germany
[La] Idioma:ger
[Ab] Resumo:In approximately 4-13 % of cases plating of the humerus for stabilizing a shaft fracture is complicated by a secondary lesion of the radial nerve. In the majority of cases this is due to intraoperative traction on the nerve. The compression of a radial nerve under an osteosynthesis plate is reported only rarely. This article presents the case of a spontaneous regeneration of a radial nerve despite ongoing compression by the surgical implant after compression plating of a humeral shaft fracture. Recommendations are given to avoid such an iatrogenic lesion of the radial nerve, which most commonly is not spontaneously reversible.
[Mh] Termos MeSH primário: Placas Ósseas/efeitos adversos
Fixação Interna de Fraturas/efeitos adversos
Síndromes de Compressão Nervosa/etiologia
Regeneração Nervosa
Traumatismos dos Nervos Periféricos/etiologia
Nervo Radial/lesões
Neuropatia Radial/etiologia
[Mh] Termos MeSH secundário: Adulto
Diagnóstico Diferencial
Feminino
Fixação Interna de Fraturas/instrumentação
Seres Humanos
Fraturas do Úmero/complicações
Fraturas do Úmero/cirurgia
Síndromes de Compressão Nervosa/diagnóstico
Traumatismos dos Nervos Periféricos/diagnóstico
Neuropatia Radial/diagnóstico
Recuperação de Função Fisiológica
Remissão Espontânea
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171030
[Lr] Data última revisão:
171030
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161105
[St] Status:MEDLINE
[do] DOI:10.1007/s00113-016-0264-3


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[PMID]:27815953
[Au] Autor:Perretta DJ; Brock KM; Tejwani NC
[Ti] Título:Early Complications Associated with the Thompson Approach to the Proximal Radius.
[So] Source:Bull Hosp Jt Dis (2013);74(4):293-297, 2016 Nov.
[Is] ISSN:2328-5273
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: The purpose of this study was to investigate the early complications associated with the dorsal approach to the proximal radius. This approach, also called the Thompson approach, is used relatively infrequently for the treatment of forearm fractures. It is primarily reserved for proximal one-third radius fractures where a volar plate may not be placed sufficiently proximal for adequate fixation. METHODS: A retrospective chart review was performed on forearm fractures performed at our institution. Over a period from January 2008 to May 2014 a total of 120 patients underwent fixation for radius shaft fractures either isolated or associated with ulna fractures; of these 120 patients, 11 were found to have utilized the Thompson approach to the proximal radius. Demographic data was collected, along with fracture pattern, and associated complications in the first 2 weeks after surgery. RESULTS: The average age of the patients was 31 years (range: 20 to 46 years). Ten patients were male and one was female. The mean follow-up time was 15 weeks (range: 1 to 52 weeks). The stated indication for the dorsal approach was a proximal location of the radius fracture in 10 cases and presence of dorsal open wounds in one patient. In all cases, the posterior interosseous nerve was identified and protected. The average distance from the fracture to the radial head articular surface was 72 mm (range: 34 mm to 132 mm). Four fractures were open, and seven were closed injuries. There were two postoperative posterior interosseous nerve palsies, along with one compartment syndrome requiring fasciotomy. There were no wound complications. There was an overall complication rate of 27%. CONCLUSION: Postoperative posterior interosseous nerve palsy was the most common complication in this series, occurring in 18% of the patients in spite of identification and protection of the nerve throughout the procedure. High vigilance for compartment syndrome must also be maintained after fixation of any forearm fracture, as it occurred in 1 of 11 patients in this study.
[Mh] Termos MeSH primário: Fixação Interna de Fraturas/efeitos adversos
Complicações Pós-Operatórias/etiologia
Fraturas do Rádio/cirurgia
[Mh] Termos MeSH secundário: Adulto
Idoso
Síndromes Compartimentais/etiologia
Feminino
Fixação Interna de Fraturas/métodos
Consolidação da Fratura
Seres Humanos
Masculino
Meia-Idade
Cidade de Nova Iorque
Paralisia/etiologia
Traumatismos dos Nervos Periféricos/etiologia
Complicações Pós-Operatórias/diagnóstico
Nervo Radial/lesões
Neuropatia Radial/etiologia
Fraturas do Rádio/diagnóstico por imagem
Estudos Retrospectivos
Fatores de Risco
Fatores de Tempo
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170309
[Lr] Data última revisão:
170309
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161106
[St] Status:MEDLINE


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[PMID]:27763908
[Au] Autor:Choi SY; Park JW; Kim DH
[Ad] Endereço:From the Departments of Orthopedic Surgery and Physical Medicine and Rehabilitation, Korea University Ansan Hospital, Korea University College of Medicine, Seoul, Republic of Korea.
[Ti] Título:Ultrasonographic and Surgical Findings of Acute Radial Neuropathy Following Blunt Trauma.
[So] Source:Am J Phys Med Rehabil;95(11):e177-e182, 2016 Nov.
[Is] ISSN:1537-7385
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Ultrasonographic study is useful for decision making of treatment for focal neuropathy with unusual electrodiagnostic findings. We present a patient with severe acute radial neuropathy with sensory sparing around the distal arm secondary to twisting of the radial nerve following blunt trauma. A 24-year-old man with a 2-week history of left wrist drop and severe pain around the left elbow presented after hitting the left distal arm on the doorknob. The left wrist and finger extensions were grade 0, but elbow extension could not be tested because of severe pain during this action. The left superficial radial sensory territory was intact. Electrodiagnostic findings suggested severe left radial neuropathy around the distal arm with sensory sparing. Ultrasonographic study demonstrated 2 stenotic lesions around the distal arm and absence of the left superficial radial sensory nerve. Surgical exploration revealed 2 stenotic lesions with twisting of the nerve, concordant with ultrasonographic study. End-to-end anastomosis was performed in the proximal lesion. Sixteen months later, wrist and finger extension was grade 3, and reinnervation signs in the radial-innervated muscles except extensor indicis muscle were observed. The complementary relationship between electrophysiologic and ultrasonographic examinations is very important for precise lesion location and decision making for treatment of peripheral nerve injury.
[Mh] Termos MeSH primário: Traumatismos do Braço/complicações
Neuropatia Radial/diagnóstico por imagem
Neuropatia Radial/cirurgia
Ferimentos não Penetrantes/complicações
[Mh] Termos MeSH secundário: Doença Aguda
Traumatismos do Braço/diagnóstico por imagem
Traumatismos do Braço/cirurgia
Seres Humanos
Masculino
Neuropatia Radial/etiologia
Ultrassonografia
Ferimentos não Penetrantes/diagnóstico por imagem
Ferimentos não Penetrantes/cirurgia
Adulto Jovem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170717
[Lr] Data última revisão:
170717
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:161021
[St] Status:MEDLINE



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BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde