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International Orthopaedics

, Volume 17, Issue 6, pp 342–345 | Cite as

Entrapment of the superficial branch of the radial nerve (Wartenberg's syndrome)

A report of 52 cases
  • M. Lanzetta
  • G. Foucher
Article

Summary

We have treated 50 patients (52 cases) of entrapment of the sensory branch of the radial nerve in the forearm (Wartenberg syndrome) between January 1988 and July 1992. Conservative treatment achieved 71% excellent and good results. Operation was followed by 74% excellent and good results. The indications for each type of treatment are discussed. De Quervain's disease was associated in 50% of cases, and it is important to diagnose Wartenberg's syndrome before operating on the tenosynovitis in order to avoid unexpected postoperative complications and medicolegal problems.

Keywords

Public Health Postoperative Complication Conservative Treatment Avant Radial Nerve 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Résumé

Cinquante patients présentant 52 névrites de la branche sensitive du nerf radial à l'avant-bras (syndrôme de Wartenberg) ont été traités à SOS-Main Strasbourg entre Janvier 1988 et Juillet 1992. Une ténosynovite de de Quervain était associée dans la moitié des cas. Un traitement conservateur, comportant essentiellement une attelle de repos et éventuellement l'injection de stéroïdes, a été utilisé dans 50% des cas, alors que le traitement chirurgical a été nécessaire chez 46% des patients. D'excellents et de bons résultats ont été obtenu dans 71% des cas traités conservativement et dans 74% des cas traités par libération chirurgicale de la compression antibrachiale. En tenant compte de l'histoire naturelle de la maladie et en réalisant un examen clinique attentif, la valeur et le résultat du traitement choisi sont hautement prévisibles. L'identification du syndrôme de Wartenberg avant d'entreprendre le traitement chirurgical d'une tendinite de de Quervain est essentielle. Elle peut prévenir la survenue de complications post-opératoires imprévues et éviter des conséquences médicolégales.

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References

  1. 1.
    Bierman HR (1959) Nerve compression due to tight watchband. New Eng J Med 261:237–238Google Scholar
  2. 2.
    Braidwood AS (1975) Superficial radial neuropathy. J Bone Joint Surg [Br] 57:380–383Google Scholar
  3. 3.
    Chodoroff G, Honet JC (1985) Cheiralgia paresthetica and linear atrophy as a complication of local steroid injection. Arch Physical Med Rehabil 66:637–639Google Scholar
  4. 4.
    Dahlin LB, Lundborg G (1990) The neurone and its response to peripheral nerve compression. J Hand Surg [Br] 15:5–10Google Scholar
  5. 5.
    Dellon AL, Mackinnon SE (1986) Radial sensory nerve entrapment in the forearm. J Hand Surg [Am] 11:199–205Google Scholar
  6. 6.
    Dorfman LJ, Jayaram AR (1978) Handcuff neuropathy. JAMA 239:957Google Scholar
  7. 7.
    Ehrlich W, Dellon AL, Mackinnon SE (1986) Cheiralgia parestetica (entrapment of the radial sensory nerve). J Hand Surg [Am] 11:196–198Google Scholar
  8. 8.
    Eversmann WH Jr (1982) Entrapment and compression neuropathies. In: Green DP (ed) Operative hand surgery. Churchill Livingstone, New York, pp 990–992Google Scholar
  9. 9.
    Finkelstein H (1939) Stenosing tendovaginitis at the radial styloid process. J Bone Joint Surg 12:509–540Google Scholar
  10. 10.
    Foucher G, Greant P, Sammut D, Buch N (1991) Névrites et névromes des branches sensitives du nerf radial. A propos de quarante-quatre cas. Ann Chir Main 10:108–112Google Scholar
  11. 11.
    Littler JW (1977) Reconstructive plastic surgery. The hand and upper extremity. Philadelphia, Saundres (Converse) 6:3446Google Scholar
  12. 12.
    Mackinnon SE, Dellon AL (1985) The overlap pattern of the lateral antebrachial cutaneous nerve and the superficial radial nerve. J Hand Surg [Am] 10:522–526Google Scholar
  13. 13.
    Massey EW, Pleet AB (1978) Handcuffs and cheiralgia parestetica. Neurol 28:1212–1213Google Scholar
  14. 14.
    Matzdorff P (1926) Zwei seltene Fälle von peripherer sensibler Lähmung. Klin Wochenschr 5:1187Google Scholar
  15. 15.
    Rask MR (1978) Superficial radial neuritis and De Quervain's disease: report of 3 cases. Clin Orthop 131:176–178Google Scholar
  16. 16.
    Rask MR (1979) Watchband superficial radial neurapraxia. JAMA 241:2702Google Scholar
  17. 17.
    Smith MS (1981) Handcuff neuropathy. Ann Emerg Med 10:668Google Scholar
  18. 18.
    Sprofkin RE (1954) Cheiralgia parestetica — Wartenberg's disease. Neurol 4:857–862Google Scholar
  19. 19.
    Stopford JSB (1922) Neuritis produced by a wristlet watch. Lancet 1:993–994Google Scholar
  20. 20.
    Upton ARM, Mc Comas AJ (1973) The double crush nerve entrapment syndromes. Lancet 2:359–361Google Scholar
  21. 21.
    Wartenberg R (1932) Cheiralgia Parestetica (Isolierte Neuritis des Ramus superficialis nervi radialis). Z Ger Neurol Psychiatr 141:145–155Google Scholar
  22. 22.
    Wilgis EFS, Murphy R (1992) The significance of longitudinal excursion in peripheral nerves. Hand Clin 2:761–766Google Scholar
  23. 23.
    Wilson SAK (1941) Neurology. Baltimore: Williams & Wilkins 1:327Google Scholar

Copyright information

© Springer-Verlag 1993

Authors and Affiliations

  • M. Lanzetta
    • 1
  • G. Foucher
    • 1
  1. 1.SOS Main StrasbourgStrasbourgFrance

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