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Handcuff neuropathy: two unusual cases.

R A Levin, G Felsenthal

Archives of Physical Medicine and Rehabilitation

|January 1, 1984

Summary

This summary is machine-generated.

Handcuff neuropathy can affect multiple wrist nerves, not just the superficial radial nerve. Involvement of median or ulnar nerves can lead to significant disability and require rehabilitation.

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Area of Science:

Neurology
Forensic Medicine

Background:

Peripheral nerve injuries can occur from external compression.
Handcuff application is a known cause of nerve compression, typically affecting the superficial radial nerve.

Observation:

Two cases of bilateral handcuff neuropathy involving multiple nerves were identified.
Electrodiagnostic studies confirmed nerve membrane instability, prolonged latencies, and conduction block.

Findings:

In addition to superficial radial nerves, median nerves were affected in one case and ulnar nerves in another.
Unlike isolated radial nerve injuries, median or ulnar nerve involvement resulted in significant functional disability.

Implications:

Any peripheral nerve at the wrist is susceptible to injury from handcuff pressure and edema.

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Severe handcuff neuropathy necessitates a comprehensive rehabilitation program for affected individuals.