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Unilateral Pushup-Induced Acute Median Neuritis
Alexis M Ruppel1, Mitchell J Lomis1, Scarlett E Schneider2
1Medicine, Augusta University Medical College of Georgia, Athens, USA.
Cureus
|May 6, 2024
Summary
Acute median nerve issues, like carpal tunnel syndrome, usually stem from trauma. This case highlights acute median nerve neuritis as a possibility in non-traumatic cases, resolving with conservative care.
Area of Science:
- Neurology
- Orthopedics
- Emergency Medicine
Background:
- Acute median nerve neuropathy often results from trauma and necessitates ruling out surgical emergencies like carpal tunnel syndrome.
- Prompt diagnosis and management are crucial for acute median nerve conditions to prevent long-term complications.
Observation:
- A patient presented with acute unilateral pain and numbness in the median nerve distribution after a "pop" during push-ups.
- Physical examination revealed no gross deformity, and the distal extremity was neurovascularly intact. Imaging studies were unremarkable.
Findings:
- Symptoms were congruent with carpal tunnel syndrome, but physical exam and imaging findings were inconsistent with this diagnosis.
- Acute median nerve neuritis, though less commonly described and not previously reported secondary to push-ups, was considered.
Implications:
- This case suggests acute median nerve neuritis should be considered in patients with non-traumatic median nerve symptoms.
- Conservative management led to complete symptom resolution and no recurrence, indicating favorable outcomes for this condition.
