Nerve compression syndromes of the hand and forearm associated with tumours of non-neural origin and tumour-like lesions

Martínez-Villén, G.; Badiola, Juan José; Álvarez-Alegret, Ramiro; Mayayo, E

doi:10.1016/j.bjps.2014.02.003

Cited by 19 publications

(10 citation statements)

References 42 publications

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“…There is discrepancy in the literature regarding the incidence of soft tissue and bony tumors of the upper extremity. In a majority of the studies (including our own), soft tissue lesions had the highest incidence, while some authors report enchondromas to be the most common [ 4 ]. This is probably a result of the different patient selection criteria used in the studies, i.e., a proportion of minor soft tissue lesions may be operated on in outpatient settings and thus not be recorded in clinical databases.…”

Section: Discussionmentioning

confidence: 99%

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Statistical and histological analysis of tumors of the upper extremity

Żyluk

Mazur

2015

Obere Extremität

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BackgroundTumors of the upper extremity are common and usually benign. The most commonly diagnosed are ganglion cysts: specific, non-neoplastic swellings localized mostly around the wrist.ObjectiveThe objective of this retrospective study was to determine the proportion of various types of nonganglionic hand tumors operated on at the authors’ institution in 2014.MethodsA total of 246 patients, 141 women (57 %) and 105 men (43 %), with a mean age of 53 years and with tumorsof the upper extremity, were identified and treated in the authors’ institution in 2014.ResultsAlmost half of the lesions were localized in the fingers (n = 119, 48 %), followed by the wrist (n=49, 20 %), metacarpus (n = 40, 16 %), and more proximal parts (n = 38, 16 %). The time between the patients noticing the lesion and surgery was a mean of 4 years (range, 1 month to 30 years). The most common lesion was giant cell tumor of the tendon sheath (n = 58, 23 %), followed by lipoma (n = 40, 16 %), epidermal cyst (n = 23, 9 %), enchondroma (n=16, 6 %), hemangioma (n = 14, 6 %), fibroma (n = 11, (4 %), glomus tumor (n = 10, (4 %), and rheumatoid nodule (n = 10, (4 %). Two cases of malignant fibrosarcoma were identified incidentally.ConclusionA brief review of the literature is made referring to the data presented here.

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Section: Discussionmentioning

confidence: 99%

“…Lipomas typically presented as soft, mobile, and painless masses, relatively easy to diagnose correctly before operation. They are mostly asymptomatic, but may cause complaints if present near the nerves (i.e., in the carpal tunnel) [ 4 ]. If localized superficially they are easy to excise, as the majority has a well-defined capsule (Figs.…”

Section: Discussionmentioning

confidence: 99%

Statistical and histological analysis of tumors of the upper extremity

Żyluk

Mazur

2015

Obere Extremität

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“…In their study, Martínez-Villén et al retrospectively reviewed 541 patients who were operated on due to nerve compressions and tumors of the forearm and the hand. 12 They have found that 22 patients showed compression neuropathy associated with 17 tumors and 6 tumor-like lesions, with 13 different histopathology. Of these, 2 were due to glomus tumors localized in the distal forearm.…”

Section: Discussionmentioning

confidence: 99%

Atypically localized glomus tumor causing anterior interosseous nerve syndrome: A case report

Akman¹,

Yalçınkaya

Arıkan³

et al. 2017

Acta Orthopaedica et Traumatologica Turcica

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This article presents a 48-year-old male patient who presented with pain in the left forearm and weakness and clumsiness in the left hand of 6 months' duration. Flexor motor strength loss of the thumb and the index finger was present and neurophysiologic tests showed findings compatible with axonal injury in the anterior interosseous nerve (AIN) innervated muscles. Magnetic resonance imaging revealed a space-occupying lesion in the proximal forearm resembling a glomus tumor. Excision of the mass and release of the AIN were performed. Histopathology confirmed a glomus tumor, and the patient remains asymptomatic at 1 year postoperatively. We stress the importance of imaging studies in patients when a suspected secondary nature of nerve entrapment is present.

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“…Una causa menos común de lesión del NSRS fue la compresión nerviosa por tumores grasos, gangliones o glomangiomas, cuya escisión conduce habitualmente a mejores resultados que cuando se procede a la reconstrucción o neurólisis cicatricial. 10 En contraste con los buenos resultados de la cirugía en el NR y el NIOP, la recuperación de las lesiones del NSRS es menos favorable. 5 Kin y cols.…”

Section: Lesiones Del Nervio Sensitivo Radial Superficialunclassified

“…5,7 La compresión tumoral del nervio como causa de daño es rara, usualmente producida por lipomas o gangliones. [8][9][10] El déficit sensitivo en el territorio subsidiario del NSRS puede aparecer por lesión de esta rama terminal o del tronco común del NR, asociando dolor neuropático discapacitante. 11,12 Como en la mayoría de los nervios periféricos, el pronóstico de las lesiones del NR y de sus ramas terminales varía según la edad, el tipo y el nivel de la lesión, el periodo transcurrido entre la misma y su reparación, o la técnica quirúrgica empleada.…”

Section: Introductionunclassified

Resultados del tratamiento del nervio radial e influencia de factores pronósticos

Villén

Alcober

Malfey

2017

Rev Iberoam Cir Mano

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). Palabras Clave► lesiones nervio radial ► tratamiento ► pronóstico ResumenObjetivo Analizar la respuesta de las lesiones del nervio radial y de sus ramas al tratamiento y la influencia de factores asociados dependientes del tipo de daño y de paciente. Material y Método Sesenta y seis pacientes con lesiones del nervio radial o de sus ramas terminales fueron sometidos a tratamiento conservador, reconstrucción nerviosa, exoneurólis, recolocación nerviosa, cobertura con colgajo graso o transferencia tenomuscular. Hubo 39 hombres y 27 mujeres con una edad media de 45 años. Valoramos la situación motora antes y después del tratamiento con la escala del Louisiana State University Health Sciences Centre (G0 a G5). En las lesiones de la rama superficial del nervio radial fueron recogidas las alteraciones sensitivas y el dolor. La edad, el momento de la cirugía, el tipo de lesión, su nivel y tratamiento, el tiempo de seguimiento y el momento aproximado de la recuperación nerviosa, fueron analizados y relacionados con los resultados. Resultados Hubo 37 lesiones del nervio radial entre la axila y el codo, 12 del nervio interóseo posterior y 17 de la rama sensitiva superficial. En 10 pacientes observamos recuperación espontánea. En el 82,3% de los casos de reconstrucción del nervio radial el resultado fue bueno o excelente, siendo desfavorable en el 17,7%. Todos los pacientes con reconstrucción del nervio interóseo posterior tuvieron resultado excelente. Las lesiones nerviosas en continuidad tuvieron un 20% más de resultados G4 y G5 que las neurotmesis. Entre los pacientes con lesión de la rama sensitiva superficial, seis quedaron asintomáticos y 11 sintomáticos después del tratamiento. Los pacientes de mayor edad, los grandes defectos nerviosos injertados en las zonas más proximas de la extremidad superior, o con mayor tiempo transcurrido entre la lesión y la reparación evolucionaron peor. Conclusión El nervio radial es un nervio agradecido al tratamiento. AbstractBackground The purpose of this study was to present the response of radial nerve lesions and their branches to treatment, observing the influence of associated factors depending to the damage and the patient.

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Nerve compression syndromes of the hand and forearm associated with tumours of non-neural origin and tumour-like lesions

Cited by 19 publications

References 42 publications

Statistical and histological analysis of tumors of the upper extremity

Statistical and histological analysis of tumors of the upper extremity

Atypically localized glomus tumor causing anterior interosseous nerve syndrome: A case report

Resultados del tratamiento del nervio radial e influencia de factores pronósticos

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