Ultrasonographic and Surgical Findings of Acute Radial Neuropathy Following Blunt Trauma

Seok Youl Choi, Jong Woong Park, Dong Hwee Kim

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)

Abstract

Ultrasonographic study is useful for decision making of treatment for focal neuropathy with unusual electrodiagnostic findings. We present a patient with severe acute radial neuropathy with sensory sparing around the distal arm secondary to twisting of the radial nerve following blunt trauma. A 24-year-old man with a 2-week history of left wrist drop and severe pain around the left elbow presented after hitting the left distal arm on the doorknob. The left wrist and finger extensions were grade 0, but elbow extension could not be tested because of severe pain during this action. The left superficial radial sensory territory was intact. Electrodiagnostic findings suggested severe left radial neuropathy around the distal arm with sensory sparing. Ultrasonographic study demonstrated 2 stenotic lesions around the distal arm and absence of the left superficial radial sensory nerve. Surgical exploration revealed 2 stenotic lesions with twisting of the nerve, concordant with ultrasonographic study. End-to-end anastomosis was performed in the proximal lesion. Sixteen months later, wrist and finger extension was grade 3, and reinnervation signs in the radial-innervated muscles except extensor indicis muscle were observed. The complementary relationship between electrophysiologic and ultrasonographic examinations is very important for precise lesion location and decision making for treatment of peripheral nerve injury.

Original languageEnglish
Pages (from-to)e177-e182
JournalAmerican Journal of Physical Medicine and Rehabilitation
Volume95
Issue number11
DOIs
Publication statusPublished - 2016 Nov 1

Keywords

  • Neuropathy
  • Radial nerve
  • Surgery
  • Trauma
  • Ultrasonography

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

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