Compression of the lateral antebrachial cutaneous nerve by the biceps tendon

Gillingham, Bruce L.; Mack, Gregory R.

doi:10.1016/s1058-2746(96)80062-0

Cited by 38 publications

(17 citation statements)

References 4 publications

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“…Non-traumatic cases were attributed to irritation of the nerve from vigorous activity where it was fixed by the fascia and compressed by the lateral edge of the biceps tendon, especially in positions of combined pronation and extension. [3][4][5][6][7]12 Our surgical findings confirmed this view.…”

Section: Discussionsupporting

confidence: 74%

“…Compression of the lateral antebrachial cutaneous nerve (LACN) at the elbow, first described by Narasanagi of surgical treatment for compression of the LACN at the elbow have been described; 1,[3][4][5][6][7] two additional cases in which operation was required have been attributed to direct injury to the LACN at the elbow during phlebotomy 9 and to compression from a glomus tumour. 10 We report the surgical treatment of eight new cases of compression of the LACN at the elbow, carried out by the same author (DLV).…”

mentioning

confidence: 99%

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Surgical treatment of compression of the lateral antebrachial cutaneous nerve

Dailiana

Roulot

Viet

2000

The Journal of Bone and Joint Surgery. British volume

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We describe an operation to relieve compression of the lateral antebrachial cutaneous nerve at the elbow. Between 1987 and 1997 we operated on seven patients, one with bilateral compression. In two the compression was associated with injury to biceps. A longitudinal or a transverse incision was carried out and the nerve was released from the deep fascia. Partial excision of the biceps aponeurosis was undertaken in the patients who did not have injury to biceps; some additional procedures were required for those patients with injuries. All patients had symptomatic relief.

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Section: Discussionsupporting

confidence: 74%

mentioning

confidence: 99%

Surgical treatment of compression of the lateral antebrachial cutaneous nerve

Dailiana

Roulot

Viet

2000

The Journal of Bone and Joint Surgery. British volume

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“…Distal mechanisms include entrapment syndromes in the superficial antebrachial fascia (Belzile and Cloutier, 2001) and the biceps tendon (Gillingham and Mack, 1996). Iatrogenic injury of the lateral cutaneous nerve of the forearm has been reported to occur in five out of 50 patients with humeral shaft displaced fractures after treatment with Russel-Taylor interlocked nerves (Blyth et al, 2003).…”

Section: Clinical Importancementioning

confidence: 99%

“…In a MC with no variations (1-A-0), a proximal lesion would cause a mixed motor and sensory syndrome clinically identified as marked weakness of elbow flexion, and sensory impairment in the distribution of the lateral cutaneous nerve of the forearm. On the other hand, distal lesions cause pure sensory findings identified as pain over the anterolateral aspect of the elbow, burning dysesthesia of the lateral forearm, and accentuation of symptoms by elbow extension and forearm pronation (Gillingham and Mack, 1996).…”

Section: Clinical Importancementioning

confidence: 99%

Classifying musculocutaneous nerve variations

2009

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A total of 56 upper limbs from fetuses and adult cadavers were dissected to record anatomical variations in the musculocutaneous nerve (MC). A systematic literature review was performed to identify current classifications of MC variations. Communications were seen between the MC and median nerves in 53.6% of the dissections from which 84.6% were proximal, 7.7% distal, and 7.7% had one proximal and one distal communication to the point of entry of the MC into coracobrachialis muscle. In six out of 54 dissections where the MC was present, the nerve did not pierce the coracobrachialis muscle. In two cases, the MC was absent and in one case the MC and the median nerve had a distal origin. This article describes current classifications of MC variations and their problems. A new classification is proposed combining preexisting ones into an integrated and more detailed overview. Clinical manifestations of isolated MC injury with and without the presence of anatomical variations are thoroughly discussed. The knowledge of these variations will allow physicians to correctly interpret anomalous innervation patterns of the upper limb.

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“…[1][2][3][4][5][6][7][8][9][10] Most of the published articles in the literature have been case reports. 2,3,5,6,9,10 Only one large series of 11 patients has been published thus far. 4 Most of the patients with LABCN entrapment present with lateral elbow pain but some may present with paresthesia along the volar radial aspect of the distal forearm.…”

mentioning

confidence: 99%