Abstract
Attention is drawn to the relatively rare and poorly appreciated clinical featues of entrapment of the superficial sensory branch of the radial nerve (SBR) in the forearm. In a series of 15 patients with cheiralgia paresthetica, alleviation of pain and discomfort was achieved in 66.6% of the conservatively-treated patients and in 80% of the five non-responsive patients who required neurolysis of the nerve. Job-related symptoms were exhibited by 33.3% of the patients, which subsided upon job modification or less hand-intensive work and conservative treatment. We suggest that modalities of treatment should be appropriate for the pathophysioloy of the SBR injury, while early recognition of the syndrome reduces the necessity for surgery.
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Alegado RB, Meals RA (1979) An unusual complication following surgical treatment of the de Quervain's disease. J Hand Surg 4:185
Arons MS (1987) de Quervain's release in working women: a report of failures, complications and associated diagnoses. J Hand Surg 12A:540
Aulicino PL (1990) Neurovascular injuries in hands of athletes. Hand Clin 6:455
Braidwood AS (1975) Superficial radial neuropathy. J Bone J Surg [Br] 57:380
Dellon LA, Mackinnon SE (1984) Susceptibility of the superficial sensory branch of the radial nerve to form painful neuromas. J Hand Surg 9B:42
Dellon LA, Mackinnon SE (1986) Radial sensory nerve entrapment in the forearm. J Hand Surg 11A:199
Dorfman LJ, Jayaram AR (1978) Handcuff neuropathy. JAMA 239:957
Eaton CJ, Lister GD (1992) Radial nerve compression. Hand Clin 8:345
Ehrlich W, Dellon LA, Mackinnon SE (1986) Cheiralgia paresthetica (entrapment of the radial sensory nerve). J Hand Sung 11A:196
Eversmann WH (1982) Entrapment and compression neuropathies. In: Green DP (ed) Operative hand surgery. Churchill Livingstone, New York, pp 990
Foucher G, Greant P, Sammut D, Buch N (1991) Nevrites et neuromes des branches sensitives du nerf radial: à propos de quarante-quatre cas. Ann Chir Main 10:108
Gilula LA, Destouet JM, Weeks PM, Wray RC (1984) Roentgenographic diagnosis of painful wrist. Clin Orthop 187:52
Lanzetta M, Foucher G (1993) Entrapment of the superficial branch of the radial nerve (Wartenberg's syndrome): a report of 52 cases. Int Orthop (SICOT) 17:342
Mackinnon SE, Dellon AL (1985) The overlap pattern of the lateral antebrachial cutaneous nerve and the superficial radial nerve. J Hand Surg 10A:522
Mackinnon SE (1992) Double and multiple “crush” syndromes. Double and multiple entrapment neuropathies. Hand Clin 8:369
Massey EW, Pleet AB (1978) Handcuffs and cheiralgia paresthetica. Neurology 28:1312
Matzdorff P (1926) Zwei seltene Fälle von peripherar sensibler Lähmung. Klin Wochenschr 5:1187
Phalen GS (1982) Stenosing tenosynovitis: trigger finger and trigger thumb, de Quervain's disease, acute calcification in wrist and hand. In: Flynn JE (ed) Hand surgery, 3rd ed. Williams & Wilkins, Baltimore, pp 489
Rask MR (1978) Superficial radial neuritis and de Quervain's disease: report of three cases. Clin Orthop 131:176
Stopford JSB (1922) Neuritis produced by a wristlet watch. Lancet I:993
Thrush DN, Belsole R (1995) Radial nerve injury after routine peripheral vein cannulation. J Clin Anesth 7:160
Wartenberg R (1932) Cheiralgia Paresthetica (Isolierte Neuritis des Ramus superficialis nervi radialis]. Z Gerontol Neurol Psychiatry 141:145
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Stahl, S., Kaufman, T. Cheiralgia paresthetica — entrapment of the superficial branch of the radial nerve: a report of 15 cases. Eur J Plast Surg 20, 57–59 (1997). https://doi.org/10.1007/BF01419132
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DOI: https://doi.org/10.1007/BF01419132