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Multiple Entrapment Neuropathy in the Upper Extremity.

Chen1, Zhang, Tsai

  • 1Taichung Veterans General Hospital, Taiwan, ROC.

Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand
|November 23, 2000
PubMed
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Surgical decompression for multiple entrapment neuropathy, a condition affecting over two nerves in one limb, yielded good to excellent results in 67% of patients after conservative treatment failed. Minimally invasive endoscopic surgery improved nerve compression symptoms.

Area of Science:

  • Orthopedics
  • Neurology
  • Surgical Innovation

Background:

  • Multiple entrapment neuropathy involves compression of more than two nerves within the same limb.
  • This condition often presents with various nerve compression syndromes and associated musculotendinous issues.

Purpose of the Study:

  • To evaluate the outcomes of surgical decompression for multiple entrapment neuropathy.
  • To present the clinical features and treatment results of patients undergoing surgical intervention.

Main Methods:

  • A case series of 169 patients (208 upper extremities) with multiple entrapment neuropathy was analyzed.
  • 124 patients underwent surgical decompression after conservative treatment proved ineffective.
  • Outcomes were assessed using patient self-reporting and physician evaluation of strength and sensation.

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Main Results:

  • 67% of patients (92 out of 138 operated extremities) achieved good to excellent results.
  • The study observed a high incidence of co-occurring regional musculotendinous syndromes.
  • Minimally invasive endoscopic approaches were utilized for simultaneous release of compression sites.

Conclusions:

  • Surgical decompression, particularly using minimally invasive techniques, is effective for managing multiple entrapment neuropathy.
  • Simultaneous release of all compression sites may lead to improved patient outcomes.
  • Understanding the clinical features, including associated syndromes, is crucial for successful treatment.