ABS TRACT Cheiralgia paresthetica is the entrapment of the superficial branch of the radial nerve in the forearm. Although this nerve damage frequently occurs after direct trauma or compression, it may also be the result of repetitive forearm rotation movements. It occurs with symptoms such as pain, burning and tingling sensations in the distal forearm and hand. Electromyelography can be used for diagnosis. Ultrasound is a feasible method of showing nerve compression. Although treatment is mostly conservative, surgical exploration is an option for resistant cases. The case is here presented of a 46-year old female agricultural worker with compression of the superior branch of the radial nerve due to occupation-related repetitive forearm rotation.
Introduction This study examines the neck extensor muscle thickness of
patients with ankylosing spondylitis (AS) and non-radiographic axial
spondyloarthritis (nr-axSpA) by comparing them with healthy volunteers. It also
aims to evaluate the relationship between muscle thickness and disease activity,
functional parameters, neck disability and quality of life in patients with
AxSpA.
Method In this cross-sectional study, 30 patients with AS and 30 patients
with nr-AxSpA who were admitted to a Physical Medicine and Rehabilitation
outpatient clinic were included consecutively. Thirty healthy participants were
included as a control group. The thickness of muscles was measured bilaterally
by ultrasound and the muscle thickness average was recorded. All patients with
axSpA were asked to complete the Bath Ankylosing Spondylitis Disease Activity
Index (BASDAI), the Bath Ankylosing Spondylitis Functional Index (BASFI), the
Bath Ankylosing Spondylitis Metrology Index (BASMI), the Ankylosing spondylitis
Quality of Life (AsQoL) scale and the Neck Disability Index (NDI).
Results Mean patient age was 42.36±10.0 in the AS group,
38.13±7.94 in the nr-axSpA group and 39.06±8.25 in the healthy
group. A statistically significant decrease was found in multifidus,
semispinalis capitis, semispinalis cervicis and splenius capitis muscle
thickness in AS patients compared with the healthy group, and in semispinalis
cervicis muscle thickness in nr-axSpA patients compared with the healthy group.
However, when trapezius muscle thickness was compared between the groups, no
statistical difference was found. There was a significant negative correlation
between neck extensor muscle thickness and age, BASDAI, NDI and AsQoL in
patients with axSpA.
Conclusion The thickness of the neck extensor muscles is decreased in
patients with AxSpA compared with healthy individuals, and this situation can be
reliably detected by ultrasound.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.