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 journalArticle

3 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

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Median Neuropathy
Forearm Injuries
Median Nerve
Traction
Forearm
Hand
Muscles

ASJC Scopus subject areas

  • Clinical Neurology
  • Neurology

Cite this

Ultrasound in the diagnosis of a median neuropathy in the forearm : Case report. / Ginn, Stuart D.; Cartwright, Michael S.; Chloros, George D.; Walker, Francis O.; Yoon, Joon Shik; Brown, Martin E.; Wiesler, Ethan R.

In: Journal of Brachial Plexus and Peripheral Nerve Injury, Vol. 2, No. 1, 23, 04.12.2007.

Research output: Contribution to journalArticle

Ginn, Stuart D. ; Cartwright, Michael S. ; Chloros, George D. ; Walker, Francis O. ; Yoon, Joon Shik ; Brown, Martin E. ; Wiesler, Ethan R. / Ultrasound in the diagnosis of a median neuropathy in the forearm : Case report. In: Journal of Brachial Plexus and Peripheral Nerve Injury. 2007 ; Vol. 2, No. 1.
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