An anatomical variant of the superficial branch of the radial nerve in Wartenberg’s syndrome

2012 ◽  
Vol 37 (4) ◽  
pp. 365-366 ◽  
Author(s):  
A. D. Murphy ◽  
J. W. Blair
Hand Surgery ◽  
2004 ◽  
Vol 09 (02) ◽  
pp. 191-195 ◽  
Author(s):  
M. Tryfonidis ◽  
G. K. Jass ◽  
C. P. Charalambous ◽  
S. Jacob

We dissected 20 preserved Caucasian cadaveric upper limbs looking at the relation of the superficial branch of the radial nerve (SBRN) to the brachioradialis tendon. SBRN emerged from deep to superficial position by piercing the brachioradialis tendon near its dorsal border in four limbs. The resulting dorsal tendinous band compressed the nerve and prevented longitudinal gliding movement during ulnar flexion. This is likely to increase the risk of chronic compression neuropathy (Wartenberg's syndrome). In two of these four limbs, there was a communication between the SBRN and lateral cutaneous nerve of the forearm. No such communication was found in the remaining 16 forearms. This communication could contribute to the minimal area of sensory loss observed in Wartenberg's syndrome. We recommend that this anatomical anomaly is looked for and if present dealt with during surgical treatment of Wartenberg's syndrome, as it is likely to predispose to chronic compression neuropathy.


2021 ◽  
Vol 15 (1) ◽  
pp. 13-16
Author(s):  
Stuart H. Kuschner ◽  
Haben Berihun

Background: Robert Wartenberg, a European-American neurologist, was born in 1887 and died in 1956. His description of radial sensory nerve compression at the forearm is memorialized as Wartenberg’s syndrome. He recognized that involuntary abduction of the little finger could be caused by ulnar nerve palsy - a finding often called Wartenberg’s sign Syndrome and signs are reviewed, and a brief biography is presented. Objective: To review Wartenberg’s sign and Wartenberg’s syndrome. Discussion: Compression of the superficial branch of the radial nerve, often called Wartenberg’s syndrome, is characterized by pain, paresthesia, and dysesthesia along the dorsoradial distal forearm. Non-operative treatment can include activity restriction and anti-inflammatory medication. If symptoms persist, surgical decompression of the radial nerve is an option. The abducted posture of the little finger - Wartenberg’s sign - can result from a low ulnar nerve palsy. Tendon transfer can be performed to correct this deformity. Conclusion: Compression of the superficial branch of the radial nerve and abducted posture of the little finger were described by Robert Wartenberg and carry his name as eponymous syndrome and sign, respectively.


2014 ◽  
Vol 32 (1) ◽  
pp. 29-31
Author(s):  
Mohd Nor Nurul Huda ◽  
Aye Aye San ◽  
Othman Fauziah

2019 ◽  
Vol 9 (4) ◽  
pp. e0489-e0489
Author(s):  
Louis M. Day ◽  
Sarah G. Stroud ◽  
Neil V. Shah ◽  
Scott C. Pascal ◽  
Gregory S. Penny ◽  
...  

2017 ◽  
Vol 06 (04) ◽  
pp. 336-339 ◽  
Author(s):  
Jérémie Bouillis ◽  
Mickaël Ropars ◽  
Stéphanie Lallouet

AbstractThis study assesses the usefulness and feasibility of an osteosynthesis of the lower end of the radius under ultrasound imaging to avoid the superficial branch of the radial nerve (SBRN). A single operator performed an initial echography of the wrist of 12 cadaveric upper limbs to identify the three main branches of the SBRN and the tendons. Then, three pins were placed according to Kapandji's procedure, avoiding the structures spotted under ultrasound imaging. After dissection, the safety distances for the branches of the SBRN, dorsal extensor tendons, and veins were measured, and injuries to these structures were noted. No lesion of the SBRN was found with an average safety distance of 8.1 for the third branch of the radial nerve (SR3) and 1.3 mm for the first and the second branches of the radial nerve (SR1–2). Three tendons were spiked. The average operative time was 38.3 minutes. Ultrasound secures percutaneous surgery to avoid the branches of the SBRN but requires a learning curve.


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