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Entrapment Neuropathies of the Upper Extremity
Christopher T Doughty1, Michael P Bowley2
1Department of Neurology, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA.
The Medical Clinics of North America
|February 2, 2019
Summary
Common upper extremity entrapment neuropathies like carpal tunnel syndrome cause pain and weakness. This review covers their causes, diagnosis, and treatment options for better patient outcomes.
Area of Science:
- Neurology
- Orthopedics
- Physical Medicine and Rehabilitation
Background:
- Upper extremity entrapment neuropathies are prevalent conditions.
- They manifest as pain, sensory deficits, and muscle weakness, potentially causing significant functional impairment.
Purpose of the Study:
- To review common upper extremity entrapment neuropathies.
- To discuss their pathophysiology, etiologies, and diagnostic challenges.
- To guide treatment modality selection.
Main Methods:
- Literature review of common entrapment neuropathies.
- Discussion of pathophysiology and etiologies.
- Analysis of diagnostic differentiation and treatment strategies.
Main Results:
- Identified common neuropathies: median neuropathy at the wrist (carpal tunnel syndrome), ulnar neuropathy at the elbow, and radial neuropathy.
- Detailed the pathophysiology of nerve compression and common causes.
- Outlined strategies for distinguishing from mimics like cervical radiculopathy.
Conclusions:
- Accurate diagnosis of upper extremity nerve entrapment is crucial for effective management.
- Understanding pathophysiology and differential diagnosis aids in selecting appropriate treatments.
- This review provides a framework for managing these common neurological conditions.
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