Evaluation and Treatment of Upper Extremity Nerve Entrapment Syndromes
The Center for Neuroscience, Calvert Memorial Hospital, Chesapeake Neurology Associates, 130 Hospital Road, Suite 101, Prince Frederick, MD 20678, USA. Electronic address: . Primary care
(Impact Factor: 0.74).
12/2013; 40(4):925-43. DOI: 10.1016/j.pop.2013.08.009
Nerve entrapment syndromes in the upper extremity are being recognized with increasing frequency. Prompt and correct diagnosis of these injuries is important. This article is a review of the common entrapment nerve injuries seen in the upper extremity. Each of these clinical syndromes is discussed independently, reviewing the anatomy, compression sites, patient presentation (history and examination), the role of additional diagnostic studies, and management.
Available from: L C Ming
Available from: Yaser Mohammed Al-Worafi
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ABSTRACT: Proximal median (PMNE) and radial (RNE) nerve entrapment syndromes are uncommon. This article provides an evidenced-based treatment guideline for PMNE and RNE based on the available literature. Arriving at an accurate diagnosis must involve an electrodiagnostic (EDx) workup. EDx, including nerve conduction velocity studies and needle electromyography, should corroborate the clinical diagnosis and must be done before consideration of any surgical treatment. Conservative care includes rest, modified activities, splinting at wrist and elbow, physical therapy, antiinflammatory drug therapy, and corticosteroid injections. Conservative care should be required for at least 6 weeks before any operative interventions are considered.
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