Ultrasound in the diagnosis of a median neuropathy in the forearm: Case report

Stuart D. Ginn, Michael S. Cartwright, George D. Chloros, Francis O. Walker, Joon Shik Yoon, Martin E. Brown, Ethan R. Wiesler

    Research output: Contribution to journalArticlepeer-review

    6 Citations (Scopus)

    Abstract

    Background: Electrodiagnostic studies are traditionally used in the diagnosis of focal neuropathies, however they lack anatomical information regarding the nerve and its surrounding structures. The purpose of this case is to show that high-resolution ultrasound used as an adjunct to electrodiagnostic studies may complement this lack of information and give insight to the cause. Case presentation: A 60-year-old male patient sustained a forearm traction injury resulting in progressive weakness and functional loss in the first three digits of the right hand. High-resolution ultrasound showed the presence of an enlarged nerve and a homogenous soft-tissue structure appearing to engulf the nerve. The contralateral side was normal. Surgery revealed fibrotic bands emanating from the flexor digitorum profundus muscle compressing the median nerve thus confirming the ultrasound findings. Conclusion: A diagnostically challenging case of median neuropathy in the forearm is presented in which high-resolution ultrasound was valuable in establishing an anatomic etiology and directing appropriate management.

    Original languageEnglish
    Article number23
    JournalJournal of Brachial Plexus and Peripheral Nerve Injury
    Volume2
    Issue number1
    DOIs
    Publication statusPublished - 2007 Dec 4

    ASJC Scopus subject areas

    • Neurology
    • Clinical Neurology

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