scholarly journals Etiology Diagnosis and Management of Radial Nerve Entrapment

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Neeraj Vij ◽  
Hayley Kiernan ◽  
Sam Miller-Gutierrez ◽  
Veena Agusala ◽  
Alan David Kaye ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Endoscopic Surgery ◽  
Radial Nerve ◽  
Systemic Disease ◽  
Nerve Entrapment ◽  
Minimally Invasive Techniques ◽  
Incision Size ◽  
Increased Risk ◽  
Motor Component ◽  
Invasive Techniques

Context: The anatomy of the radial nerve is prone to entrapment, each with different symptomology. Compression of entrapment of the radial nerve can occur near the radiocapitellar joint, the spiral groove, the arcade of Frohse, the tendon of the extensor carpi radialis brevis (ECRB), and at the radial tunnel. Those who require repetitive motions are at increased risk of peripheral neuropathy syndromes, including repetitive pronation and supination, trauma, or systemic disease; however, t the influence of all risk factors is not well understood. Depending on the location of entrapment, radial nerve entrapment syndrome presents different symptoms. It may include both a motor component and a sensory component. The motor component includes a dropped arm, and the sensory component can include pain and paresthesia in the distribution of the radial nerve that resolves with rest and exacerbates by repetitive pronation and supination. Evidence Acquisition: Diagnostic evaluation for radial nerve entrapment, apart from clinical symptoms and physical exam, includes electromyography, nerve conduction studies, ultrasonography, and magnetic resonance imaging. Conservative management for radial nerve entrapment includes oral anti-inflammatory medications, activity modification, and splinting. Some recently performed studies mentioned promising minimally invasive techniques, including corticosteroid injections, peripheral nerve stimulation, and pulsed radiofrequency. Results: When minimally invasive techniques fail, open or endoscopic surgery can be performed to release the nerve Conclusions: Endoscopic surgery has the benefit of decreasing incision size and reducing time to functional recovery.

scholarly journals An Update on Treatment Modalities for Ulnar Nerve Entrapment: A Literature Review

2020 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Neeraj Vij ◽  
Blake Traube ◽  
Roy Bisht ◽  
Ian Singleton ◽  
Elyse M Cornett ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Minimally Invasive ◽  
Ulnar Nerve ◽  
Nerve Entrapment ◽  
Electrode Placement ◽  
Great Promise ◽  
Minimally Invasive Techniques ◽  
Ulnar Nerve Entrapment ◽  
Guyon's Canal ◽  
Invasive Techniques

Context: Ulnar nerve entrapment is a relatively common entrapment syndrome second only in prevalence to carpal tunnel syndrome. The potential anatomic locations for entrapment include the brachial plexus, cubital tunnel, and Guyon’s canal. Ulnar nerve entrapment is more so prevalent in pregnancy, diabetes, rheumatoid arthritis, and patients with occupations involving periods of prolonged elbow flexion and/or wrist dorsiflexion. Cyclists are particularly at risk of Guyon’s canal neuropathy. Patients typically present with sensory deficits of the palmar aspect of the fourth and fifth digits, followed by motor symptoms, including decreased pinch strength and difficulty fastening shirt buttons or opening bottles. Evidence Acquisition: Literature searches were performed using the below MeSH Terms using Mendeley version 1.19.4. Search fields were varied until further searches revealed no new articles. All articles were screened by title and abstract. Decision was made to include an article based on its relevance and the list of final articles was approved three of the authors. This included reading the entirety of the artice. Any question regarding the inclusion of an article was discussed by all authors until an agreement was reached. Results: X-ray and CT play a role in diagnosis when a bony injury is thought to be related to the pathogenesis (i.e., fracture of the hook of the hamate.) MRI plays a role where soft tissue is thought to be related to the pathogenesis (i.e., tumor or swelling.) Electromyography and nerve conduction also play a role in diagnosis. Medical management, in conjunction with physical therapy, shows limited promise. However, minimally invasive techniques, including peripheral percutaneous electrode placement and ultrasound-guided electrode placement, have all been recently studied and show great promise. When these techniques fail, clinicians should resort to decompression, which can be done endoscopically or through an open incision. Endoscopic ulnar decompression shows great promise as a surgical option with minimal incisions. Conclusions: Clinical diagnosis of ulnar nerve entrapment can often be delayed and requires the suspicion as well as a thorough neurological exam. Early recognition and diagnois are important for early institution of treatment. A wide array of diagnostic imaging can be useful in ruling out bony, soft tissue, or vascular etiologies, respectively. However, clinicians should resort to electrodiagnostic testing when a definitive diagnois is needed. Many new minimally invasive techniques are in the literature and show great promise; however, further large scale trials are needed to validate these techniques. Surgical options remains as a gold standard when adequate symptom relief is not achieved through minimally invasive means.

scholarly journals Advances in fetal surgery

2016 ◽  
Vol 14 (1) ◽  
pp. 110-112 ◽  
Author(s):  
Denise Araujo Lapa Pedreira
Keyword(s):  
Health Care ◽  
Minimally Invasive ◽  
Surgical Therapy ◽  
Endoscopic Surgery ◽  
Health Care Professionals ◽  
State Of The Art ◽  
Fetal Surgery ◽  
Minimally Invasive Techniques ◽  
Future Challenges ◽  
Invasive Techniques

ABSTRACT This paper discusses the main advances in fetal surgical therapy aiming to inform health care professionals about the state-of-the-art techniques and future challenges in this field. We discuss the necessary steps of technical evolution from the initial open fetal surgery approach until the development of minimally invasive techniques of fetal endoscopic surgery (fetoscopy).

Treatment of Refractory Low Back Pain Caused by Degenerative Spine Disease with Minimally Invasive Techniques

2014 ◽  
Vol 4 (1_suppl) ◽  
pp. s-0034-1376724-s-0034-1376724
Author(s):  
K. Vladimirovich Tyulikov ◽  
K. Korostelev ◽  
V. Manukovsky ◽  
V. Litvinenko ◽  
V. Badalov
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Minimally Invasive ◽  
Low Back ◽  
Minimally Invasive Techniques ◽  
Degenerative Spine ◽  
Degenerative Spine Disease ◽  
Invasive Techniques ◽  
Spine Disease

Quantification Analysis of Minimally Invasive Techniques to the Infratemporal Fossa

2020 ◽  
Author(s):  
Moustafa Ali ◽  
Nyall London ◽  
Daniel Prevedello ◽  
Tekin Baglam ◽  
Ray Cho ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Infratemporal Fossa ◽  
Minimally Invasive Techniques ◽  
Quantification Analysis ◽  
Invasive Techniques

Aumento de coroa estética sem elevação de retalho – abordagem minimamente invasiva

2020 ◽  
Vol 12 (45) ◽  
pp. 34-39
Author(s):  
Flavia Sukekava ◽  
Julia Helena Luiz ◽  
Paloma Palma ◽  
Jaques Luiz
Keyword(s):  
Minimally Invasive ◽  
Correct Diagnosis ◽  
Case Series ◽  
Minimally Invasive Techniques ◽  
Bone Removal ◽  
Use Of Technology ◽  
Treatment Plans ◽  
Invasive Techniques ◽  
Crown Lengthening ◽  
Gummy Smile

Gummy smile is a characteristic in which the patient exposes more than 2 mm of keratinized gingiva in forced smile. With a multifactorial cause, its correct planning depends directly on the correct diagnosis. Usually, the procedures that involve manipulation and the enlargement of the aesthetical crown lengthening are surgical. The objective of this case series was to show the advantages of surgical crown augmentation surgery in aesthetic areas with minimally invasive techniques. Three cases of gummy smile were presented, with different treatment plans and techniques for execution. In the 3 cases, bone removal was performed with piezoelectric ultrasound, which made the postoperative more comfortable for patients. These cases illustrate the use of technology to reduce morbidity in patients who need to undergo bone removal to treat gingival smile.

Laser Stories in Medicine

2020 ◽  
Author(s):  
Science Repository
Keyword(s):  
Minimally Invasive ◽  
Modern Medicine ◽  
Minimally Invasive Techniques ◽  
Invasive Techniques

The usage of lasers has become increasingly popular in modern medicine, as minimally invasive techniques are continually being used in the treatment of different pathologic pathways

scholarly journals Minimally Invasive Local Treatments for Bone and Pulmonary Metastases

2014 ◽  
Vol 2014 ◽  
pp. 1-9 ◽  
Author(s):  
Meena Bedi ◽  
David M. King ◽  
Sean Tutton
Keyword(s):  
Minimally Invasive ◽  
Bone Metastases ◽  
Metastatic Disease ◽  
Pulmonary Metastases ◽  
Alternative Therapies ◽  
Minimally Invasive Techniques ◽  
Invasive Techniques

Surgery and chemotherapy have historically been the mainstay of treatment in patients with metastatic disease. However there are many alternative therapies available to relieve the symptoms and morbidity of metastases. In this paper, we review the role and highlight the advantages of minimally invasive techniques employed in patients with pulmonary and bone metastases.

Sign in / Sign up

Export Citation Format

Share Document