Electrophysiologic Features of Radial Neuropathy in Childhood and Adolescence

Karakis, Ioannis; Georghiou, Sofia; Jones, H. Royden; Darras, Basil T.; Kang, Peter B.

doi:10.1016/j.pediatrneurol.2018.01.003

Cited by 6 publications

(9 citation statements)

References 23 publications

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“…The final major upper limb mononeuropathy, radial neuropathy, has similar common etiologies of trauma, compression, and entrapment, generally with a good prognosis . In contrast to adults, radial neuropathy in childhood does not typically localize to the spiral groove; the posterior interosseous nerve and distal main radial trunk are more common sites of injury …”

Section: Resultsmentioning

confidence: 99%

Utility and practice of electrodiagnostic testing in the pediatric population: An AANEM consensus statement

et al. 2020

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Nerve conduction studies and needle electromyography, collectively known as electrodiagnostic (EDX) studies, have been available for pediatric patients for decades, but the accessibility of this diagnostic modality and the approach to testing vary significantly depending on the physician and institution. The maturation of molecular diagnostic approaches and other diagnostic technologies such as neuromuscular ultrasound indicate that an analysis of current needs and practices for EDX studies in the pediatric population is warranted. The American Association of Neuromuscular & Electrodiagnostic Medicine convened a consensus panel to perform literature searches, share collective experiences, and develop a consensus statement. The panel found that electrodiagnostic studies continue to have high utility for the diagnosis of numerous childhood neuromuscular disorders, and that standardized approaches along with the use of high-quality reference values are important to maximize the diagnostic yield of these tests in infants, children, and adolescents. K E Y W O R D S adolescents, children, electrodiagnostic medicine, electromyography, infants, neuromuscular disorders, pediatric

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Section: Resultsmentioning

confidence: 99%

Utility and practice of electrodiagnostic testing in the pediatric population: An AANEM consensus statement

et al. 2020

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“…Furthermore, the profile of radial nerve injuries is different in the pediatric population. In a retrospective study of 19 children with traumatic nerve injuries of the radial nerve, the lesion was localizable to the PIN in 37% of cases, an unusually high frequency [17].…”

Section: Discussionmentioning

confidence: 98%

The “Texas Longhorn” Syndrome: A Case of Posterior Interosseous Nerve Palsy With Noteworthy Observations

Kesserwani¹

2021

Cureus

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The posterior interosseous nerve (PIN) is quite a fascinating nerve. It wraps around the radial neck akin to the fibular nerve wrapping around the fibular neck. It can be compressed by the arcade of Frohse in a fashion similar to median nerve entrapment by the carpal tunnel. Furthermore, it divides into a number of branches, a simulacrum of the cauda equina, as it emerges from the supinator muscle. It is also associated with spaceoccupying pathologies; lipomas, and ganglion cysts being among the most common. It also has other interesting anatomical properties, such as fascicular compartmentalization, explaining PIN paralysis with radial nerve injuries. Finally, PIN lesions can lead to partial paralysis of finger extensors leading to the "Texas longhorn" hand gesture. We seize upon a case of PIN entrapment by fibrous adhesions and the arcade of Frohse, and explore the functional anatomy of the PIN.

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“…Karakis and colleagues analyzed the clinical and electrophysiologic patterns of nerve injury in 19 pediatric patients (children and adolescents) with radial neuropathy [7]. The authors conclude that radial neuropathy in children and adolescents is commonly localized at the posterior interosseous nerve or at the distal main radial trunk.…”

Section: Discussionmentioning

confidence: 99%

Focal Neuropathy Mimicking Focal Dystonia in a Child: Diagnostic and Rehabilitative Tools

Pavone

Rosa

Musumeci

et al. 2019

JFMK

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Object: Focal neuropathy results from an injury of any etiology that occurs in a peripheral nerve. The lesion may be followed by alteration of the sensory sphere (either dysesthesia or paresthesia with or without neuropathic pain), or by compensatory attitudes that are attributable to the altered contraction in muscles that are innervated by the injured nerve. Methods: We describe the case of a 13-year-old boy who attended our hospital for a focal neuropathy of the radial nerve. Conclusion: This neuropathy was revealed after the removal of a plaster Zimmer splint that was applied following a post-traumatic subluxation of the metacarpal-trapezoid joint.

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Electrophysiologic Features of Radial Neuropathy in Childhood and Adolescence

Cited by 6 publications

References 23 publications

Utility and practice of electrodiagnostic testing in the pediatric population: An AANEM consensus statement

Utility and practice of electrodiagnostic testing in the pediatric population: An AANEM consensus statement

The “Texas Longhorn” Syndrome: A Case of Posterior Interosseous Nerve Palsy With Noteworthy Observations

Focal Neuropathy Mimicking Focal Dystonia in a Child: Diagnostic and Rehabilitative Tools

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