Fascicular constrictions above elbow typify anterior interosseous nerve syndrome.


Journal

Muscle & nerve
ISSN: 1097-4598
Titre abrégé: Muscle Nerve
Pays: United States
ID NLM: 7803146

Informations de publication

Date de publication:
03 2020
Historique:
received: 01 07 2019
revised: 20 11 2019
accepted: 24 11 2019
pubmed: 28 11 2019
medline: 11 4 2020
entrez: 28 11 2019
Statut: ppublish

Résumé

In this study we tested the hypothesis that fascicular constrictions (FCs) of the median nerve proximal to the elbow joint characterize anterior interosseous nerve syndrome (AINS). Magnetic resonance neurography (MRN) and ultrasound (US) examinations were evaluated in 45 patients with clinically suspected AINS. All 22 patients at site 1 underwent MRN and 8 underwent US; all 23 patients at site 2 underwent US. Median nerve FCs were identified in all MRN cases; FCs and/or fascicular enlargements were identified in 88% of US cases. Most FCs were in the mediannerve posterior/posteromedial region and were proximal to the elbow joint line (mean distance: MRN, 5.4 cm; US, 7.5 cm), with the exception of a single FC (located 1 cm distal). No extrinsic compression of median or anterior interosseous nerves was identified in the arm or forearm. AINS is a noncompressive neuropathy characterized by median nerve FCs in the arm.

Identifiants

pubmed: 31773766
doi: 10.1002/mus.26768
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

301-310

Commentaires et corrections

Type : CommentIn

Informations de copyright

© 2019 Wiley Periodicals, Inc.

Références

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Auteurs

Darryl B Sneag (DB)

Department of Radiology and Imaging, Hospital for Special Surgery, New York, New York.

Zsuzsanna Arányi (Z)

Department of Neurology, Semmelweis University, Budapest, Hungary.

Esther M Zusstone (EM)

College of Medicine, University of Cincinnati, Cincinnati, Ohio.

Joseph H Feinberg (JH)

Department of Physiatry, Sports Medicine, Hospital for Special Surgery, New York, New York.

Sophie C Queler (SC)

Department of Radiology and Imaging, Hospital for Special Surgery, New York, New York.

O Kenechi Nwawka (OK)

Department of Radiology and Imaging, Hospital for Special Surgery, New York, New York.

Steve K Lee (SK)

Department of Orthopedic Surgery, Hand, and Upper Extremity, Hospital for Special Surgery, New York, New York.

Scott W Wolfe (SW)

Department of Orthopedic Surgery, Hand, and Upper Extremity, Hospital for Special Surgery, New York, New York.

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