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Superficial radial neuropathy.

A S Braidwood

    The Journal of Bone and Joint Surgery. British Volume
    |August 1, 1975
    PubMed
    Summary

    Isolated neuropathy of the radial nerve, also known as Wartenberg

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    Area of Science:

    • Neurology
    • Peripheral Nerve Disorders

    Background:

    • Isolated neuropathy of the superficial radial nerve, termed cheiralgia paraesthetica or Wartenberg's disease, is a rarely recognized condition.
    • First described by Wartenberg in 1932, this neuropathy affects the cutaneous branch of the radial nerve.

    Purpose of the Study:

    • To review the literature and outline the clinical presentation of isolated superficial radial nerve neuropathy.
    • To describe twelve new cases of this condition.

    Main Methods:

    • Case series analysis of twelve patients with isolated superficial radial nerve neuropathy.
    • Literature review to synthesize existing knowledge on the condition.
    • Description of the anatomical course and distribution of the superficial radial nerve.

    Main Results:

    • Six cases resolved spontaneously without intervention.
    • Two cases showed improvement following local hydrocortisone injection.
    • Four cases achieved satisfactory outcomes after nerve resection.

    Conclusions:

    • Isolated neuropathy of the superficial radial nerve is an underrecognized condition with varied presentations.
    • Conservative management, local injections, and surgical resection are viable treatment options.
    • Awareness of the superficial radial nerve's anatomy is crucial to prevent iatrogenic injury during wrist surgeries.

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