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30 - Peripheral Nerve Injuries and Compression Neuropathies

from SECTION IV - NEUROLOGICAL TRAUMA

Published online by Cambridge University Press:  06 August 2009

Patricia B. Jozefczyk
Affiliation:
Department of Neurology Allegheny General Hospital Pittsburgh, Pennsylvania
Mark Baratz
Affiliation:
Department of Orthopedic Suegery Allegheny General Hospital Pittusburgh, Pennsylvania
Sid M. Shah
Affiliation:
Michigan State University
Kevin M. Kelly
Affiliation:
Drexel University, Philadelphia
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Summary

Peripheral nerve injuries are one of three types: neuropraxia, axonotmesis and neurotmesis. Blunt trauma and traction injuries may cause nerve transection when associated with open fractures, but the majority result in neuropraxia or axonotmesis. High-energy trauma to an extremity with or without a fracture may produce a compartment syndrome. Nerve injury does not usually result from a direct electrical source. Typically, the energy is dissipated throughout the soft tissues and the nerve injury resolves more commonly from surrounding soft tissue swelling. Peripheral nerve compression may occur where the nerve passes through a tunnel and slides back and forth with joint flexion and extension. The upper extremity compression neuropathies are: pronator syndrome, anterior interosseous syndrome, carpal tunnel syndrome, thoracic outlet syndrome, cubital tunnel syndrome, Guyon's canal syndrome, posterior interosseous nerve syndrome, radial tunnel syndrome, and radial sensory nerve entrapment.
Type
Chapter
Information
Principles and Practice of Emergency Neurology
Handbook for Emergency Physicians
, pp. 304 - 312
Publisher: Cambridge University Press
Print publication year: 2003

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References

Adelaar, R S, Foster, W C, McDowell, C. The treatment of the cubital tunnel syndrome. J Hand Surg. 1984; 9: 90–5Google Scholar
Eaton, C J, Lister, G D. Radial nerve compression. Hand Clin. 1992; 2: 345–57Google Scholar
Hartz, C R, Linscheid, R L, Gramser, R R, et al. The pronator teres syndrome. Compressive neuropathy of the median nerve. J Bone Joint Surg. 1981; 63A: 885–90Google Scholar
Kihol, L G, Nevin, S. Isolated neuritis of the anterior interosseous nerve. Br Med J. 1952; 1: 850–1Google Scholar
Leffert, R D. Thoracic outlet syndrome. Hand Clin. 1992; 2: 285–97Google Scholar
Moneim, M S. Ulnar nerve compression at the wrist-ulnar tunnel syndrome. Hand Clin. 1992; 2: 337–44Google Scholar
Pfeffer, G B, Gelberman, R H, Boyes, J H, Rydevik, B. The history of carpal tunnel syndrome. J Hand Surg. 1988; 13: 28–34Google Scholar
Phalen, G S. The carpal tunnel syndrome: clinical evaluation of 598 hands. Clin Orthop. 1972; 83: 29–40Google Scholar
Tinel J. The tingling sign in peripheral nerve lesions. In: Spinner M, ed.; Kaplan E B, trans. Injuries to the Major Branches of Peripheral Nerves of the Forearm, 2nd ed. Philadelphia, Pa: WB Saunders: 1978: 8–13

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