Intercostobrachial neuropathy due to axillary compression

Magalhães, João Eudes; Januário, Alexandre M. S.; Lins, Otávio Gomes

doi:10.1002/mus.21205

Cited by 3 publications

(1 citation statement)

References 14 publications

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“…The causes for injuries of the IBCN are similar to those of the MBCN, most of which are iatrogenic in nature. The nerve could be injured due to forceful dragging by the axilla [ 11 ]. Since the nerve is derived from the T2 spinal nerve, the T2 intercostal space should be scrutinized by US for concomitant space-occupying lesions or a rib fracture.…”

Section: The Intercostobrachial Cutaneous Nerve (Ibcn)mentioning

confidence: 99%

Ultrasound Imaging for the Cutaneous Nerves of the Extremities and Relevant Entrapment Syndromes: From Anatomy to Clinical Implications

Chang

Mezian

Naňka

et al. 2018

JCM

119

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Cutaneous nerve entrapment plays an important role in neuropathic pain syndrome. Due to the advancement of ultrasound technology, the cutaneous nerves can be visualized by high-resolution ultrasound. As the cutaneous nerves course superficially in the subcutaneous layer, they are vulnerable to entrapment or collateral damage in traumatic insults. Scanning of the cutaneous nerves is challenging due to fewer anatomic landmarks for referencing. Therefore, the aim of the present article is to summarize the anatomy of the limb cutaneous nerves, to elaborate the scanning techniques, and also to discuss the clinical implications of pertinent entrapment syndromes of the medial brachial cutaneous nerve, intercostobrachial cutaneous nerve, medial antebrachial cutaneous nerve, lateral antebrachial cutaneous nerve, posterior antebrachial cutaneous nerve, superficial branch of the radial nerve, dorsal cutaneous branch of the ulnar nerve, palmar cutaneous branch of the median nerve, anterior femoral cutaneous nerve, posterior femoral cutaneous nerve, lateral femoral cutaneous nerve, sural nerve, and saphenous nerve.

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Section: The Intercostobrachial Cutaneous Nerve (Ibcn)mentioning

confidence: 99%

Ultrasound Imaging for the Cutaneous Nerves of the Extremities and Relevant Entrapment Syndromes: From Anatomy to Clinical Implications

Chang

Mezian

Naňka

et al. 2018

JCM

119

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Síndrome axillary web idiopático

et al. 2020

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Does total hip arthroplasty result in intercostal nerve injury? A case report and literature review

Wang,

Zhang,

Wang

et al. 2023

Open Medicine

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Neuropathy in surgical-related locations has received concerns after total hip arthroplasty (THA), while the contralateral intercostal nerve (ICN) injury has not been reported. A 25-year-old female patient with a body mass index (BMI) of 17.9 kg/m2 visited the orthopedic outpatient clinic with complaints of progressive left hip pain for 20 days. She was diagnosed with left end-stage hip osteoarthritis and developmental dysplasia of the bilateral hips after radiographs and a detailed history-taking. After painstaking consideration, a cementless THA with the standard posterolateral approach was performed under general anesthesia. The procedure was difficult but successful. Unexpectedly, the numbness and slight tingling in the skin of the right breast, lateral chest wall, and axilla cropped up on the first postoperative day. Following the clinical features and the conclusion of the multidisciplinary discussion, we assume that ICN neuropathy is the diagnosis in this case due to compression of the lateral decubitus position during the operation. Her symptoms completely disappeared after using mecobalamin injection (0.5 mg, intramuscular injection, every other day) for 11 days. The Harris left hip score improved from 39 to 94, and the visual analogue scale from 7 was reduced to 2 on the day of discharge. There were no other complications within the first year after the operation. For THA, we should pay attention to some unexpected complications by virtue of the special position, especially in thin and low-BMI people, which suggested that further comprehensive perioperative nursing measures and the beneficial surgical position and anesthesia type were called for.

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Intercostobrachial neuropathy due to axillary compression

Cited by 3 publications

References 14 publications

Ultrasound Imaging for the Cutaneous Nerves of the Extremities and Relevant Entrapment Syndromes: From Anatomy to Clinical Implications

Ultrasound Imaging for the Cutaneous Nerves of the Extremities and Relevant Entrapment Syndromes: From Anatomy to Clinical Implications

Síndrome axillary web idiopático

Does total hip arthroplasty result in intercostal nerve injury? A case report and literature review

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