Surgical treatment of compression of the lateral antebrachial cutaneous nerve

Dailiana, Zoe; Roulot, E.; Viet, D. Le

doi:10.1302/0301-620x.82b3.0820420

Cited by 18 publications

(6 citation statements)

References 8 publications

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“…People who are accused of malingering in military settings should be examined carefully concerning the training-related injuries of the peripheral nervous and musculoskeletal systems. Although many nerve compression syndromes in the upper limb are common, some are rare, posing difficulties in both diagnosis and treatment (6). This report describes the clinical and electrodiagnostic findings of a patient who developed LACN neuropathy, after sustaining elbow flexion and extension during sports training in the military camp.…”

Section: DI Is Sc Cu Us Ss Si Io On Nmentioning

confidence: 96%

“…It innervates the volar, radial and dorsal aspects of the distal forearm and proximal wrist (6). Musculocutaneous neuropathy with weakness of the biceps muscle and a sensory deficit in the distribution of the LACN has been reported following prolonged repetitive forceful contracture of flexor musculature of the upper extremity (7,8).…”

Section: DI Is Sc Cu Us Ss Si Io On Nmentioning

confidence: 99%

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A Soldier with Lateral Antebrachial Cutaneous Neuropathy: Malingering or Fact?

Yıldız¹,

Kılınç²,

Ardıç³

2010

tftr

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Ö Öz ze et t G Gi ir ri ifl fl: : Lateral antebrakial kutanöz sinir (LAKS) kompresyonu nadiren akla gelen ancak aç›kl›kla tan›mlanabilen bir sendromdur. Bu sendrom, hasta rolü yaparak askeri görevlerinden kaç›nabilecek askerlerde ay›r›c› tan›da göz önünde bulundurulmal›d›r. Bu vakada dirsek ekstansiyonunun ortaya ç›kard›¤› sa¤ önkola yay›lan yan›c› a¤r› nedeniyle dirsek ekstansiyonundan kaç›nma flikayeti ile baflvuran 23 yafl›nda bir askeri tan›mlad›k. LAKS nöropatisi, askeri bir kampta avuç karfl›ya bakarken kendini yukar› çek-meyi içeren fiziksel aktivite ile ortaya ç›km›fl ve ilk önce temaruz oldu¤u düflünülmüfl daha sonra klinik ve elektrodiagnostik bulgularla tan›s› konulmufltur. Askerlik görevi s›ras›nda temaruz ile suçlanan kifliler, askeri e¤itimleri ile iliflkili periferal nörolojik ve kas iskelet sistemi yaralanmalar› aç›s›ndan da dikkatli bir flekilde incelenmelidir. Özellikle ön kol a¤r›s› flikayeti olan ve bu nedenle dirsek ekstansiyonu yapamayan hastalar›n ay›r›c› tan›s›nda LAKS nöropatisi ak›lda tutulmal› ve elektrofizyolojik incelemelerle do¤rulanmal›d›r. Türk Fiz T›p Rehab Derg 2010;56:145-7. A An na ah ht ta ar r K Ke el li im me el le er r: : Lateral antebrakial kutanöz sinir, nöropati, temaruz S Su um mm ma ar ry y I In nt tr ro od du uc ct ti io on n: : Compression of the lateral antebrachial cutaneous nerve (LACN) is a rarely recognized but clearly definable syndrome. It should be taken into account in the differential diagnosis in the context of soldiers who are suspected of avoiding military duties by assuming the sick role. In this report, we describe a 23-year-old soldier who presented with avoidance of elbow extension due to a burning pain in the right forearm induced by extension. LACN neuropathy, which occurred after physical training including palm-away pull ups in the military camp and was initially suspected to be malingering, was later diagnosed according to the clinical and electrodiagnostic findings. People who are accused of malingering in military settings should be examined carefully also concerning the training-related injuries of the peripheral nervous and musculoskeletal systems. Especially for patients complaining of forearm pain that leads to inability to extend the elbow, LACN neuropathy should be considered in the differential diagnosis and confirmed by electrophysiological examination. Turk J Phys Med Rehab 2010;56:145-7. K Ke ey y W Wo or rd ds s: : Lateral antebrachial cutaneous nerve, neuropathy, malingering

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Section: DI Is Sc Cu Us Ss Si Io On Nmentioning

confidence: 96%

Section: DI Is Sc Cu Us Ss Si Io On Nmentioning

confidence: 99%

A Soldier with Lateral Antebrachial Cutaneous Neuropathy: Malingering or Fact?

Yıldız¹,

Kılınç²,

Ardıç³

2010

tftr

View full text Add to dashboard Cite

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“…Diagnostic anesthetic nerve block was also successfully performed in 23 patients in a study by Naam et al in 2004 [10]. Two patients in a case series by Dailiana et al [2] were diagnosed solely with local anesthetic nerve block. Our case is the first reported case in which ultrasound was used to locate the nerve prior to injection of medication.…”

Section: Ultrasound-guided Perineural Injectionmentioning

confidence: 99%

“…In a surgical case series by Dailiana et al [2] in 9 patients with LABCN compression at the elbow, 2 patients responded to conservative management consisting of immobilization, while 7 underwent surgical treatment, with 6 of the 7 patients receiving full relief. In a study by Naam et al [10], 16 patients with LABCN compression underwent surgical decompression after conservative treatment failed.…”

Section: Treatment Optionsmentioning

confidence: 99%

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Lateral Antebrachial Cutaneous Nerve Entrapment After Shoulder Arthroscopy: A Case Report

Yung

Lagemann

Lin

et al. 2015

PM&R

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The lateral antebrachial cutaneous nerve (LABCN) is a distal sensory branch of the musculocutaneous nerve that innervates the radial aspect of the forearm. Cases of LABCN injury from trauma and chronic compression have been reported. A case of musculocutaneous nerve injury after a biceps tenodesis has also been reported. This case report describes an LABCN injury and forearm pain after a biceps tenodesis procedure. Using a multifaceted diagnostic approach of electrodiagnostics and magnetic resonance neurography, the site of compression was appropriately localized. The patient ultimately achieved relief after a surgical decompression.

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Microanatomical and immunohistochemical study of the human lateral antebrachial cutaneous nerve of forearm at the antecubital fossa and its clinical implications

et al. 2010

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Changes in the intraneural anatomy with age can cause poor prognosis of nerve repair in patients after nerve injury. The occurrence of Complex Regional Pain Syndrome-Type II, secondary to peripheral nerve injury, is common. The purpose of this study is to asses changes in cross-sectional anatomy of the lateral antebrachial cutaneous nerve of forearm (LCNF) at the antecubital fossa in the fascicular, nonfascicular components (adipose and nonadipose tissue), and sympathetic fibers area with respect to age. For the purpose of the study, 32 human (37-88 years) fresh cadaveric LCNF were collected from left-antecubital fossae and processed for histological, morphometric analysis [total cross-sectional (Asc), fascicular (Af), and nonfascicular area (Anonf)], and immunohistochemical method (tyrosine hydroxylase) for sympathetic fibers. The LCNF's average total cross-sectional area was 3.024 mm(2), and fascicular area was 0.582 mm(2). The average number of fascicles per mm(2) was 3.09. The cross-sectional area in the nerve was mainly occupied by nonfascicular connective tissue (80.75%). There was increased adipose tissue deposition (48.48% of Asc) and decreased collagen fibers (32.24% of Asc) in interfascicular domains without any definite relationship with age. The average sympathetic fiber area was 0.026 mm(2) within the nerve fascicular area without any correlation with age. In LCNF, there was more adipose tissue and less collagen fibers deposition in the interfascicular domains of all age cases, and this may act as an obstacle for nerve fiber regeneration on using LCNF as an interpositional nerve graft.

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Surgical treatment of compression of the lateral antebrachial cutaneous nerve

Cited by 18 publications

References 8 publications

A Soldier with Lateral Antebrachial Cutaneous Neuropathy: Malingering or Fact?

A Soldier with Lateral Antebrachial Cutaneous Neuropathy: Malingering or Fact?

Lateral Antebrachial Cutaneous Nerve Entrapment After Shoulder Arthroscopy: A Case Report

Microanatomical and immunohistochemical study of the human lateral antebrachial cutaneous nerve of forearm at the antecubital fossa and its clinical implications

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