scholarly journals Giant Neurofibroma of the Left Median Nerve Associated With Damage of the Ipsilateral Distal Radius

Cureus ◽  
2021 ◽  
Author(s):  
Ioannis E Kougioumtzis ◽  
Antonia Barmpitsioti ◽  
Stylianos Tottas ◽  
Alexandra Giatromanolaki ◽  
Georgios I Drosos
Keyword(s):  
Median Nerve ◽  
Distal Radius ◽  
Giant Neurofibroma

Comminuted Distal Radius Fracture with Concomitant Median Nerve Transection

2021 ◽  
Vol 11 (3) ◽  
Author(s):  
Kelly C. Mead ◽  
Nicole M. Sgromolo ◽  
Chad A. Krueger ◽  
Peter C. Rhee
Keyword(s):  
Median Nerve ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Radius Fracture ◽  
Nerve Transection

scholarly journals Systematic prospective electrophysiological studies of the median nerve after simple distal radius fracture

PLoS ONE ◽  
2020 ◽  
Vol 15 (4) ◽  
pp. e0231502 ◽  
Author(s):  
Pierre R. Bourque ◽  
John Brooks ◽  
Theo Mobach ◽  
Brendan Gammon ◽  
Steven Papp ◽  
...  
Keyword(s):  
Median Nerve ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Radius Fracture ◽  
Electrophysiological Studies

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

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.

scholarly journals Variation of the palmar cutaneous branch of the median nerve identified within the tendon sheath of the flexor carpal radialis

2022 ◽  
Author(s):  
Ha Sung Park ◽  
Shin Woo Choi ◽  
Joo-Yul Bae
Keyword(s):  
Median Nerve ◽  
Distal Radius ◽  
Plate Fixation ◽  
Tendon Sheath ◽  
Distal Radius Fractures ◽  
Radius Fractures ◽  
Palmar Cutaneous Branch ◽  
Cutaneous Branch ◽  
Specific Finding ◽  
Henry Approach

Purpose: During volar plate fixation of distal radius fractures, we have encountered patients with an anomalous course of the palmar cutaneous branch (PCB) of the median nerve within the sheath of the flexor carpi radialis (FCR) tendon. The purpose of this study was to assess the frequency and location of variations of the PCB within the sheath of the FCR tendon.Methods: This retrospective study enrolled 83 patients who underwent volar locking plate fixations through a modified Henry approach for distal radius fractures from July 2018 to April 2020. When we encountered an anomalous PCB within the sheath of the FCR tendon, we documented the specific finding and location where the PCB entered the sheath of the FCR tendon.Results: There were nine patients (10.8%) who had an anomalous course of PCB penetrating the sheath of the FCR tendon. The average entering point of PCB into the sheath of the FCR tendon was 3.07 cm from the distal wrist crease (range, 2.5–3.6 cm).Conclusion: An anomalous course of the PCB entering the sheath of the FCR tendon was observed at a high frequency (10.8%). Care must be taken not to injure the PCB during a dissecting of the FCR sheath during a modified Henry approach for a distal radius fracture.

A PROSPECTIVE PLAN TO MINIMISE MEDIAN NERVE RELATED COMPLICATIONS ASSOCIATED WITH OPERATIVELY TREATED DISTAL RADIUS FRACTURES

Hand Surgery ◽  
2007 ◽  
Vol 12 (03) ◽  
pp. 199-204 ◽  
Author(s):  
Mark Henry ◽  
Christopher Stutz
Keyword(s):  
Neuropathic Pain ◽  
Median Nerve ◽  
Distal Radius ◽  
Carpal Tunnel ◽  
Carpal Tunnel Release ◽  
Case Series ◽  
Distal Radius Fractures ◽  
Nerve Function ◽  
Radius Fractures ◽  
Neuropathic Pain Syndrome

Loss of median nerve function or a neuropathic pain syndrome may occur in around 20% of distal radius fractures if post-traumatic oedema in the carpal canal generates excessive pressure on the median nerve. No method currently exists to reliably distinguish which patients may benefit from a concomitant carpal tunnel release. This case series details the results of following a prospective plan designed to minimise median nerve related complications associated with distal radius fractures by measuring Semmes-Weinstein monofilament scores in 374 radius fracture patients who underwent surgical stabilisation. One hundred and sixty-nine patients with the clinical symptoms of median nerve compression, a decrement in monofilament score of grade 1 (out of 5) compared to the contralateral side or at least 4.31 g underwent concomitant carpal tunnel release. The remaining 205 patients did not have carpal tunnel release. There were no cases of neuropathic pain or loss of median nerve function.

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