Compression of Lateral Antebrachial Cutaneous Nerve in Waitresses

Patel, Chilvana; Vishnubhakat, S. Murthy

doi:10.1097/cnd.0000000000000064

Cited by 7 publications

(3 citation statements)

References 3 publications

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“…Commonly reported etiologies are repetitive forceful pronation in throwing athletes, compression due to a tourniquet, antecubital fossa phlebotomy, improperly placed blood pressure cuff, restraining strap, and positioning while under general anesthesia [ 1 ]. In some case series, direct compression of the nerve by carrying heavy trays in waitresses and sustained elbow flexion during windsurfing (board sailing) have also been reported [ 7 , 10 ]. Diagnosis of LABCN can be established based on the patient’s history, physical exam, and nerve conduction studies (NCS) [ 2 , 3 ].…”

Section: Discussionmentioning

confidence: 99%

“…In our case series, we elaborate on some of the common causes of LABCN. There have been few case reports and at least one case series on LABCN that we could find in the literature [ 7 ]. In our study, we report five patients who developed LABCN secondary to arm positioning during orthopedic surgeries.…”

Section: Discussionmentioning

confidence: 99%

“…However, electrodiagnostic studies such as nerve conduction and electromyography are often required to exclude other mimics such as brachial plexopathy. Common causes of LABCN include venipuncture, direct trauma to the elbow, and prolonged compression at the elbow or forearm segment [ 6 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Lateral Antebrachial Cutaneous Neuropathy: A Review of 15 Cases

Memon¹,

Mahmood²,

Waseem³

et al. 2022

Cureus

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Background: Lateral antebrachial cutaneous nerve is a terminal sensory branch of the musculocutaneous nerve. Lateral antebrachial cutaneous neuropathy (LABCN) is rare and often underdiagnosed. Less than 100 cases have been described in the orthopedic literature. Methods: It’s a single-center retrospective study. A retrospective chart review of patients with LABCN who were seen over 16 years was performed. Demographics and detailed clinical information were recorded. In addition, electrodiagnostic data were reviewed, and clinical outcome was recorded. Results: Fifteen patients were included in this study. Postsurgical etiology was the most common (n = 7) cause of LABCN. Other cases included antecubital fossa phlebotomy and intravenous placement (n = 4), trauma (n = 1), overuse or repetitive forearm use (n = 2), and dog bite (n = 1). No etiology was found in one case, but the patient had diabetes. Conclusion: Our study proposes that patient positioning during orthopedic surgeries leading to stretch or compression of the lateral antebrachial cutaneous nerve is the most likely cause of LABCN. Antecubital fossa needle placement is the second most common cause of LABCN. However, it’s a rare mononeuropathy and can be underdiagnosed. Therefore, detailed history, examination, and nerve conduction studies of the bilateral lateral antebrachial cutaneous nerve could help establish the diagnosis after other etiologies have been carefully excluded.

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