scholarly journals Rehabilitation of arm impaired patients.Especially, brachial plexus injury, thoracic outlet syndrome, and carpal tunnel syndrome.

1994 ◽  
Vol 31 (2) ◽  
pp. 132-141
Author(s):  
MICHITAKA FUKUDA
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Brachial Plexus ◽  
Carpal Tunnel ◽  
Thoracic Outlet Syndrome ◽  
Brachial Plexus Injury ◽  
Tunnel Syndrome

Case 13

2018 ◽  
Author(s):  
Bashar Katirji
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Brachial Plexus ◽  
Carpal Tunnel ◽  
Thoracic Outlet Syndrome ◽  
Median Sternotomy ◽  
Cubital Tunnel Syndrome ◽  
Brachial Plexopathy ◽  
Neurogenic Thoracic Outlet Syndrome ◽  
Tunnel Syndrome ◽  
Neurogenic Disorder

Thoracic outlet syndrome remains a controversial syndrome despite being described more than a century ago. This syndrome has neurogenic, vascular, and disputed types. True neurogenic thoracic outlet syndrome is relatively rare syndrome often associated with a cervical rib or cervical band. Symptoms include pain, hand and forearm numbness, and hand weakness and atrophy. The true neurogenic disorder has classical electrodiagnostic presentations. This case highlights the anatomy of the brachial plexus and distinguishes true neurogenic thoracic outlet syndrome from carpal tunnel syndrome, cubital tunnel syndrome, C8 radiculopathy, T1 radiculopathy, and post-median sternotomy brachial plexopathy, with emphasis on the electrodiagnostic findings.

Peripheral Nerve

2020 ◽  
pp. 63-96
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Peripheral Nerve ◽  
Brachial Plexus ◽  
Carpal Tunnel ◽  
Nerve Transfer ◽  
International Consensus ◽  
Magnetic Resonance Neurography ◽  
Louisiana State University ◽  
Tunnel Syndrome ◽  
Birth Palsy

This chapter addresses the peripheral nerve. The first set of studies discusses the management of carpal tunnel syndrome as well as the treatment for ulnar neuropathy at the elbow, which is the second most common entrapment neuropathy after carpal tunnel syndrome, and it describes lower extremity entrapment neuropathies. The second set of studies examines solitary benign neurofibromas or neurilemomas, which are relatively rare, and considers the international consensus on malignant peripheral nerve sheath tumors in neurofibromatosis 1. The third set of studies assesses the ulnar nerve as an alternative for nerve transfer after complete avulsion of the C5–C6 brachial plexus roots in order to restore elbow function, looks at outcomes of surgery in 1,019 brachial plexus lesions treated at Louisiana State University Health Sciences Center, and evaluates the surgical treatment of brachial plexus birth palsy. The last two studies introduce the application of magnetic resonance neurography in the evaluation of patients with peripheral nerve pathology and propose a five-tiered classification of peripheral nerve injuries.

Double Crush Syndrome Related to the Thoracic Outlet Syndrome

Hand Surgery ◽  
1997 ◽  
Vol 02 (02) ◽  
pp. 131-133 ◽  
Author(s):  
Jun Nishida ◽  
Katsuaki Ichinohe ◽  
Tadashi Shimamura ◽  
Masataka Abe
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Thoracic Outlet Syndrome ◽  
Cubital Tunnel Syndrome ◽  
Entrapment Neuropathy ◽  
Cubital Tunnel ◽  
Provocation Tests ◽  
Tunnel Syndrome ◽  
Double Crush ◽  
Ulnar Tunnel

Cases diagnosed as having thoracic outlet syndrome were examined by neurological examination, including provocation tests, electromyography and radiological examinations, to detect other sites of entrapment neuropathy of the upper extremity. During the last four years, 555 upper extremities of 494 patients were diagnosed as having thoracic outlet syndrome. Forty-five patients (9.3%) were diagnosed as having other entrapment neuropathy in one extremity. Ten cases were complicated by cervical radiculopathy, 15 by carpal tunnel syndrome, 11 by cubital tunnel syndrome, five by radial tunnel syndrome, two by ulnar tunnel syndrome, two by both carpal tunnel and cubital tunnel syndrome, and one by both cubital and ulnar tunnel syndrome. Surgery was performed for 15 limbs, and the distal lesion was operated on the first in two-thirds of these patients. The relationship between thoracic outlet syndrome and cubital tunnel syndrome or carpal tunnel syndrome has been reported by several authors, but the rates of incidence vary among reports. The rate of incidence seems to depend upon the diagnostic technique. After adoption of the appropriate provocation tests, patients with thoracic outlet syndrome complicated by other entrapment neuropathies were detected at a relatively high rate of incidence. Provocation tests seem to be an essential measure for the diagnosis of double crush syndromes.

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