Supracondylar process syndrome: two cases of median nerve neuropathy due to compression by the ligament of Struthers

Summary A case of unilateral upper limb ischaemia from ergot overdosage is presented. An unusual feature was a median nerve neuropathy suggestive of carpal tunnel syndrome. The arteriographic appearances are demonstrated and management discussed.

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Acute Upper Limb Ischemia Due to Delayed Presentation of a Brachial Artery Pseudoaneurysm Post-Venipuncture

Vascular and Endovascular Surgery ◽

10.1177/1538574419877620 ◽

2019 ◽

Vol 54 (1) ◽

pp. 80-84 ◽

Cited By ~ 2

Author(s):

Adele H. H. Lee ◽

Sara D. Qi ◽

Nathaniel Chiang

Keyword(s):

Median Nerve ◽

Upper Limb ◽

Brachial Artery ◽

Limb Ischemia ◽

High Morbidity ◽

Delayed Presentation ◽

Artery Pseudoaneurysm ◽

Hand Ischemia ◽

Iatrogenic Trauma ◽

Median Nerve Neuropathy

Brachial artery pseudoaneurysms (BAPs) are rare but could lead to complications of high morbidity. We report a case of a BAP presenting with hand ischemia and median nerve neuropathy nearly a decade after the inciting iatrogenic trauma, successfully treated with excision and direct repair. This report highlights that untreated pseudoaneurysms can be indolent and present late with both symptoms of embolization and local compression.

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Volar Distal Radioulnar Joint Dislocation Associated with Acute Median Nerve Neuropathy and a Distal Radius Fracture

Case Reports in Orthopedics ◽

10.1155/2017/5674098 ◽

2017 ◽

Vol 2017 ◽

pp. 1-4

Author(s):

Naser Alnusif ◽

Sultan Aldebeyan ◽

Rudolf Reindl

Keyword(s):

Median Nerve ◽

Distal Radius Fracture ◽

Distal Radius ◽

Rare Case ◽

Case Reports ◽

Carpal Tunnel Release ◽

Distal Radioulnar Joint ◽

Radius Fracture ◽

Radioulnar Joint ◽

Median Nerve Neuropathy

Volar distal radioulnar (DRUJ) dislocations are uncommon and can easily be missed. We present a rare case of an irreducible volar DRUJ dislocation associated with a distal radius fracture and acute median nerve neuropathy at the wrist. An attempt to reduce the DRUJ dislocation in the emergency department had failed. The patient was then taken to the operating room requiring a carpal tunnel release, as well as an open reduction and internal fixation of the distal radius fracture and repair of the volar distal radioulnar ligament. We also review some of the volar DRUJ case reports in the literature.

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Sonographic characteristics of median nerve neuropathy in Hansen’s disease: a case-control study

Leprosy Review ◽

10.47276/lr.92.3.207 ◽

2021 ◽

Vol 92 (3) ◽

pp. 207-217

Author(s):

Y. Muralidhar Reddy ◽

Jagarlapudi M. K. Murthy ◽

Lalitha Pidaparthi ◽

Shyam K. Jaiswal ◽

E. S. S. Kiran ◽

...

Keyword(s):

Median Nerve ◽

Case Control Study ◽

Case Control ◽

Hansen's Disease ◽

Hansen’S Disease ◽

Median Nerve Neuropathy ◽

Control Study

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Median nerve neuropathy

Journal of Korean Medical Association ◽

10.5124/jkma.2017.60.12.944 ◽

2017 ◽

Vol 60 (12) ◽

pp. 944 ◽

Cited By ~ 2

Author(s):

Seok-Woo Hong ◽

Hyun-Sik Gong

Keyword(s):

Median Nerve ◽

Median Nerve Neuropathy

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Entrapment Neuropathy of the Meidan Nerve at the Level of the Ligament of Struthers

Neurosurgery ◽

10.1227/00006123-199011000-00017 ◽

1990 ◽

Vol 27 (5) ◽

pp. 787-789 ◽

Cited By ~ 29

Author(s):

Turgay Bilge ◽

Okan Yalaman ◽

Semra Bilge ◽

Baki Çokneşeli ◽

Şeref Barut

Keyword(s):

Congenital Anomaly ◽

Median Nerve ◽

Brachial Artery ◽

Elbow Flexion ◽

Entrapment Neuropathy ◽

Rare Congenital Anomaly ◽

Pulse Intensity ◽

Supracondylar Process

Abstract The presence of a supracondylar process and Struthers' ligament is a rare congenital anomaly that may cause compression of either the median nerve, the brachial artery, or both. The authors present a case in which the supracondylar process and Struthers' ligament compressed both the median nerve and the brachial artery. This case is unusual, in that the symptoms of compression of the brachial artery increased—namely, the pulse intensity decreased and the pain increased with elbow flexion.

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Median Nerve Compression by the Supracondylar Process: A Case Report

Journal of Hand Surgery (European Volume) ◽

10.1016/0266-7681(91)90142-b ◽

1991 ◽

Vol 16 (1) ◽

pp. 101-103 ◽

Cited By ~ 27

Author(s):

M. M. AL-QATTAN ◽

J. B. HUSBAND

Keyword(s):

Case Report ◽

Median Nerve ◽

Nerve Compression ◽

Successful Operation ◽

Median Nerve Compression ◽

Supracondylar Process

A case of median nerve compression by the supracondylar process relieved surgically is reported. The same patient had undergone a similar and successful operation 25 years earlier.

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Venipuncture-Related Median Nerve Palsy Disguised as Intraoperative Brachial Plexus Injury

Case Reports in Neurology ◽

10.1159/000515474 ◽

2021 ◽

pp. 361-368

Author(s):

Lisa B.E. Shields ◽

Brandon Sutton ◽

Vasudeva G. Iyer ◽

Christopher B. Shields ◽

Abigail J. Rao

Keyword(s):

Peripheral Nerve ◽

Brachial Plexus ◽

Median Nerve ◽

Vascular Access ◽

Nerve Palsy ◽

Peripheral Nerve Injuries ◽

Nerve Injuries ◽

Sensorimotor Deficits ◽

Median Nerve Palsy ◽

Median Nerve Neuropathy

Iatrogenic peripheral nerve injuries may result from transection, stretch, compression, injections, ligature, heat, anticoagulant use, and radiation. Iatrogenic median nerve palsy has been reported rarely. We report a case of a woman who underwent craniectomy for treatment of trigeminal neuralgia. Intraoperatively, a transient decline in the amplitude of the left upper extremity somatosensory evoked potentials (SSEPs) was noted. This finding was presumed to be due to the traction on the brachial plexus as it improved with repositioning. Immediately upon waking from anesthesia, the patient experienced sensorimotor deficits in the left median nerve distribution. Ecchymoses from venipuncture were observed in this area. Electrodiagnostic studies confirmed a left median nerve neuropathy localized in the antebrachial area. Neurosurgeons and neurologists should be alert to potential iatrogenic median nerve palsy following vascular access at the antebrachial region. Vascular access could be performed under the ultrasound guidance when a patient is under anesthesia or unable to give sensory feedback. Furthermore, placing an additional recording electrode over the proximal upper arm during intraoperative SSEP monitoring aids in distinguishing between brachial plexus and peripheral nerve injuries.

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