Struthers ligament: a source of median nerve compression above the elbow

1973 ◽  
Vol 38 (6) ◽  
pp. 778-779 ◽  
Author(s):  
Richard V. Smith ◽  
Robert G. Fisher

✓ A case of median nerve entrapment at the elbow by a non-osseous fibrous ligament (Struthers) is presented. A relatively simple surgical procedure with ligament division afforded complete relief of symptoms. The existence of Struthers' ligament without a bony supracondylar process is reaffirmed, and the historical background of its identification outlined.

2000 ◽  
Vol 92 (4) ◽  
pp. 693-696 ◽  
Author(s):  
Atif Aydinlioglu ◽  
Bayram Cirak ◽  
Fuat Akpinar ◽  
Nihat Tosun ◽  
Ali Dogan

✓ Struthers' ligament syndrome is a rare cause of median nerve entrapment. Bilateral compression of the median nerve is even more rare. It presents with pain, sensory disturbance, and/or motor function loss at the median nerve's dermatomal area. The authors present the case of a 21-year-old woman with bilateral median nerve compression caused by Struthers' ligament. She underwent surgical decompression of the nerve on both sides. To the authors' knowledge, this case is the first reported bilateral compression of the median nerve caused by Struthers' ligament. The presentation and symptomatology of Struthers' ligament syndrome must be differentiated from median nerve compression arising from other causes.


1987 ◽  
Vol 67 (5) ◽  
pp. 754-756 ◽  
Author(s):  
Renato J. Galzio ◽  
Vincenzo Magliani ◽  
Danilo Lucantoni ◽  
Corrado D'Arrigo

✓ The case of a patient with a bilateral compression syndrome of the ulnar and median nerves at the wrist is described. Both ulnar nerves, which were surgically explored at different times, followed an anomalous course and passed into the canalis carpi side by side with the median nerve. This variation in the course of the ulnar nerve is extremely rare and causes a unique syndrome with characteristic electromyographic patterns.


2001 ◽  
Vol 94 (4) ◽  
pp. 624-626 ◽  
Author(s):  
Gerhard Marquardt ◽  
Soledad M. Barduzal Angles ◽  
Fouad D. Leheta ◽  
Volker Seifert

✓ A rare case of peripheral-nerve compression in the upper arm caused by a spontaneous venous aneurysm is reported. The apparent dysfunction of the median nerve led to various vain surgical explorations of the nerve at different levels. The real localization of nerve entrapment was identified by a thorough clinical examination, and sonography yielded a correct diagnosis. Surgical resection of the venous aneurysm resulted in complete relief of pain. To the authors' knowledge, this is the first report of a spontaneous venous malformation in the upper arm causing focal neuropathy.


1991 ◽  
Vol 16 (1) ◽  
pp. 101-103 ◽  
Author(s):  
M. M. AL-QATTAN ◽  
J. B. HUSBAND

A case of median nerve compression by the supracondylar process relieved surgically is reported. The same patient had undergone a similar and successful operation 25 years earlier.


1977 ◽  
Vol 46 (2) ◽  
pp. 252-255 ◽  
Author(s):  
Ranjit K. Laha ◽  
Manuel Dujovny ◽  
Samuel C. DeCastro

✓ The supracondylar process of the humerus has been described by anatomists and anthropologists in man and lower animals. Infrequently this process may cause compression of the median nerve. We are presenting such a case along with a brief review of the literature. Excision of the bone process led to immediate disappearance of symptoms.


2010 ◽  
Vol 2 (2) ◽  
pp. 124-126 ◽  
Author(s):  
Robert A. Mcculloch ◽  
Simon B. M. Maclean ◽  
Jag Dhaliwal ◽  
Adrian W. Simons

We present a case of a 46-year-old male presenting with a 10 year history of pain and paraesthesia in the median nerve distribution together with a palpable lump in the upper arm. X-rays confirmed a supracondylar process of the humerus. Intra-operatively it was found that there was an aberrant insertion of one of the heads of pronater teres from the process. After surgical removal of the process and release of the head of pronator teres his symptoms improved.


Hand Surgery ◽  
2007 ◽  
Vol 12 (02) ◽  
pp. 83-86 ◽  
Author(s):  
Marios D. Vekris ◽  
Marios G. Lykissas ◽  
Alexandros E. Beris

Lipomas are space-occupying lesions that may rarely be responsible for compression neuropathies. Here we report a case of a lipoma arising from flexor tenosynovium that was responsible for a sensory disturbance resulting from the compression of the median nerve in the carpal tunnel. The patient had complete relief from the neurologic symptoms six months after lipoma excision.


1985 ◽  
Vol 10 (2) ◽  
pp. 261-262
Author(s):  
D. R. A. GOODWIN ◽  
R. ARBEL

Two cases are reported of acute median nerve compression due to calcium pyrophosphate deposition in the wrist, masquerading as a septic condition. There have been recent reports in the literature of the effects of calcium pyrophosphate in joints of the upper limb (Resnick 1983 and Hensley, 1983) These conditions are uncommon and the presentation and initial symptomatology of our case led in the first patient to misdiagnosis and an unnecessary operation, which was avoided in the second case.


2016 ◽  
Vol 32 (2) ◽  
pp. 152-155
Author(s):  
Sayyed Ehtesham Hussain Naqvi ◽  
Azam Haseen ◽  
Mohammed Haneef Beg ◽  
Eram Ali ◽  
Mohammed Arshad

1987 ◽  
Vol 66 (6) ◽  
pp. 932-934 ◽  
Author(s):  
H. Carson McKowen ◽  
Rand M. Voorhies

✓ The quadrilateral space syndrome is a recently established entity with seemingly consistent pathological and radiographic features. An example of this syndrome is reported. In this patient, entrapment of the axillary nerve by fibrous bands in the quadrilateral space caused shoulder pain with paresthesias in the upper extremity. Subclavian angiography provided the diagnosis by demonstrating that the posterior humeral circumflex artery, which was normal when the arm was in a neutral position, was occluded when the arm was abducted and externally rotated. Axillary neurolysis through a posterior approach resulted in relief of symptoms.


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