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Nerve Compression in the Upper Limb.

Ellen Y Lee1, Aymeric Y T Lim1

  • 1Department of Hand and Reconstructive Microsurgery, National University Health System, 1E Kent Ridge Road, NUHS Tower Block, Level 11, 119228, Singapore.

Clinics in Plastic Surgery
|May 20, 2019
PubMed
Summary
This summary is machine-generated.

Nerve compression in fibro-osseous tunnels involves more than just compression, including traction and adhesion. A systematic clinical assessment is crucial for identifying all affected sites and guiding multimodal treatment.

Keywords:
Carpal tunnel syndromeCubital tunnel syndromeEntrapment neuropathyNerve compressionSplintingSurgical release

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Area of Science:

  • Neurology
  • Orthopedics
  • Anatomy

Background:

  • Nerve compression frequently occurs in fibro-osseous tunnels at joint crossings.
  • Pathology extends beyond simple compression to include traction and adhesion.
  • Multiple compression sites can exist along a single nerve's path.

Purpose of the Study:

  • To review the evolution of management for carpal tunnel and cubital tunnel syndromes.
  • To emphasize the natural history and non-surgical treatment options.
  • To highlight the importance of addressing systemic factors contributing to nerve dysfunction.

Main Methods:

  • Systematic clinical assessment for identifying all compression sites.
  • Review of the literature on carpal tunnel and cubital tunnel syndrome management.
  • Analysis of natural history and non-surgical treatment modalities.

Main Results:

  • Clinical assessment should be systematic to uncover all sites of nerve compression.
  • Non-surgical treatments and natural history are often underemphasized in current management.
  • Multimodal treatment approaches are necessary, incorporating systemic factors.

Conclusions:

  • Comprehensive evaluation is essential for diagnosing nerve compression syndromes.
  • Non-surgical and systemic approaches are vital components of nerve dysfunction management.
  • Understanding the full pathology, including traction and adhesion, improves treatment outcomes.