Clinical diagnosis and wide-awake surgical treatment of proximal median nerve entrapment at the elbow: a prospective study.

ABSTRACT:

Background

Proximal median nerve entrapment (PMNE, or pronator syndrome) at the elbow has traditionally been considered an elusive and rare diagnosis, as it is seldom detectable using electrophysiological techniques. In this paper, the clinical manifestations, physical diagnosis, surgical technique, and results of surgical treatment of PMNE are presented, with accompanying instructional video.

Patients/methods

During 2011, 44 patients with PMNE were surgically released and followed prospectively, 22 women/22 men, mean age 48.8 (range 25-66). The patients were equally distributed between right/left hands (23/21) and the dominant hand was treated in 56 % of cases. The diagnosis was based on: (1) weakness in median innervated muscles distal to the lacertus fibrosus; (2) pain up

SUBMITTER: Hagert E 

PROVIDER: S-EPMC3574476 | biostudies-literature | 2013 Mar

REPOSITORIES: biostudies-literature