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Peripheral neuropathy: surgical approaches simplified for the imagers
Dennis S Kao1, Jonathan Cheng1
1Department of Plastic Surgery, UT Southwestern, Dallas, Texas.
Seminars in Musculoskeletal Radiology
|March 13, 2015
Summary
Peripheral nerve entrapment occurs in anatomical tunnels of the extremities. Surgical decompression can effectively treat resulting compressive peripheral neuropathies.
Area of Science:
- Anatomy
- Neurology
- Surgery
Background:
- Peripheral nerves travel through specific anatomical tunnels in the limbs.
- These tunnels create potential sites for nerve entrapment.
- Entrapment can lead to compressive peripheral neuropathy.
Purpose of the Study:
- To identify common anatomical sites of peripheral nerve entrapment in the upper and lower extremities.
- To highlight the potential for surgical intervention in treating these conditions.
Main Methods:
- Review of anatomical literature.
- Identification of frequently reported nerve entrapment locations.
Main Results:
- Common upper extremity entrapment sites include the carpal tunnel, cubital tunnel, and radial tunnel.
- Common lower extremity entrapment sites include the piriformis, fibular neck, and tarsal tunnel.
- These entrapments can cause peripheral neuropathy.
Conclusions:
- Peripheral nerve entrapment is a recognized clinical issue.
- Surgical decompression is a viable treatment option for peripheral neuropathies caused by nerve entrapment.
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