Susceptibility of the Superficial Sensory Branch of the Radial Nerve to Form Painful Neuromas

The Journal of Hand Surgery: British & European Volume - Tập 9 - Trang 42-45 - 1984
A. Lee Dellon1, Susan E. Mackinnon2
1The Hampton Plaza, 300 East Joppa Road, Baltimore, Maryland 21204, U.S.A.
2Division of Plastic Surgery, University of Toronto, Canada

Tóm tắt

The superficial sensory branch of the radial nerve appears prone to develop painful neuromas out of proportion to its likelihood for injury. Based on cadaver dissections and intraoperative observations, an anatomical mechanism for this “predisposition” is suggested. Exit of this nerve beneath dense fascia and the tendons of brachioradialis and extensor carpi radialis longus provide a proximal tethering against which tension develops as the distal fixation point (neuroma) is pulled through the long excursion of wrist are of motion. This long excursion and proximal tethering are not present anatomically for the dorsal cutaneous branch of the ulnar nerve nor the palmar cutaneous branch of the median nerve.

Tài liệu tham khảo

1981, Orthopedics, 4, 899, 10.3928/0147-7447-19810801-05 10.1016/S0363-5023(80)80037-2 1963, The Journal of Bone and Joint Surgery, 45, 1717, 10.2106/00004623-196345080-00020 1976, The Journal of Bone and Joint Surgery, 58, 369, 10.2106/00004623-197658030-00013 1980, Theory and Surgical Practice 10.1016/S0363-5023(82)80086-5 10.1001/archsurg.1965.01320180076017 1981, Journal of Hand Surgery, 6, 288 Presented at American Society of Surgery of the Hand meeting 1975, Lancet, 633 1972, The Journal of Bone and Joint Surgery, 54, 727, 10.2106/00004623-197254040-00004 1970, Surgery and Biology of Wound Repair 1978, Clinical Orthopedics and Related Research, 131, 176 1976, Journal of Hand Surgery, 1, 44
Thông tin
Thông tin xuất bản

The Journal of Hand Surgery: British & European Volume

Tập 9

42-45

Thông tin tác giả