Painful neuroma of the posterior cutaneous nerve of the forearm after surgery for lateral humeral epicondylitis

Dellon, A. Lee; Kim, Jaesuk; Dučić, Ivica

doi:10.1016/j.jhsa.2004.01.014

Cited by 57 publications

(45 citation statements)

References 15 publications

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“…Therefore, it can be injured during surgical procedures around the LE. The PACN injury was diagnosed after the surgical treatment of lateral epicondylitis (Dellon et al, 2004;Iyer, 2014). Regarding the elbow arthroscopy, the PACN was also at risk since its position was close to the portals (Adolfsson, 1994;Chaware et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

Anatomy of Posterior Antebrachial Cutaneous Nerve Related to the Lateral Epicondyle and Interepicondylar Line

et al. 2016

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CHODEWARATHAM, P.; CHENTANEZ, V.; AGTHONG, A. & HUANMANOP, T.Anatomy of posterior antebrachial cutaneous nerve related to the lateral epicondyle and interepicondylar line. Int. J. Morphol., 34(3):953-957, 2016. SUMMARY:Posterior antebrachial cutaneous nerve (PACN) is a branch of radial nerve supplying the skin of posterior forearm. Data regarding its anatomy remain insufficient especially the origin and number of branches. We dissected 101 upper extremities from 32 male and 20 female cadavers to expose the PACN. In all specimens, the nerve emerged from the deep fascia at the hiatus proximal to the interepicondylar line (IEL) with mean distances of 7.24 and 7.44 cm in males and females, respectively. Percentage of this distance to the arm length was 23.2 % and 26.1 % in males and females, respectively. After penetrating the deep fascia, the PACN coursed in the subcutaneous layer and crossed the IEL anterior to the lateral epicondyle (LE) in all cases. The mean distances from the crossing point to the LE along the IEL were 1.52 cm in males and 1.34 cm in females. Regarding the branches of PACN, at least 50 % of the specimens had up to 3 or 4 branches originating either proximal or distal to the hiatus. In two arms, one of these branches passed posterior to the LE. Moreover, there were communicating branches between the PACN and the lateral antebrachial cutaneous nerve in 9 specimens. Gender and side differences were found in some measurement parameters. These data are crucial for avoiding the PACN injury during surgical procedures around the elbow.

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Section: Introductionmentioning

confidence: 99%

Anatomy of Posterior Antebrachial Cutaneous Nerve Related to the Lateral Epicondyle and Interepicondylar Line

et al. 2016

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“…1 Anatomists have taught medical students about the PABCN for more than a century. [2][3][4][5][6][7] As long ago as 1918 Gray's Anatomy described it as a branch of the "musculospiral nerve" (radial nerve) with its termination in the dorsal forearm.…”

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confidence: 99%

Anatomy of the Posterior Antebrachial Cutaneous Nerve: Practical Information for the Surgeon Operating on the Lateral Aspect of the Elbow

MacAvoy

Rust

Green

2006

The Journal of Hand Surgery

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“…Implantation of neuromas into muscle was described as early as 1918 (Moszkowicz, 1918) although the techniques of relocation have been refined to identify muscles appropriate for nerve relocation in specific anatomical areas (Dellon and Mackinnon, 1986;Dellon et al, 2004;Hazari and Elliot, 2004;Novak et al, 1995;Sood and Elliot, 1998;Stahl and Rosenberg, 2002). For reasons already described, the superficial radial nerve and the lateral antebrachial cutaneous nerve are both frequently injured and synchronous relocation of the two nerves into the brachioradialis muscle is often appropriate (Dellon and Mackinnon, 1986).…”

Section: Discussionmentioning

confidence: 99%

Relocation of Neuromas of the Lateral Antebrachial Cutaneous Nerve of the Forearm Into the Brachialis Muscle

Atherton

Elliot

2007

J Hand Surg Eur Vol

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Painful neuromas following injury to the radial side of the wrist can be treated by relocation away from the zone of injury and implantation into muscle. Relocation to the brachialis muscle is useful for isolated neuromas of the lateral antebrachial cutaneous nerve and involves a shorter dissection than relocation to the brachioradialis. It is also useful in patients undergoing multiple procedures to avoid disturbing previous relocations to the brachioradialis. This paper describes the successful relocation of painful neuromas of the lateral antebrachial cutaneous nerve to the brachialis muscle in seven patients.

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Painful neuroma of the posterior cutaneous nerve of the forearm after surgery for lateral humeral epicondylitis

Cited by 57 publications

References 15 publications

Anatomy of Posterior Antebrachial Cutaneous Nerve Related to the Lateral Epicondyle and Interepicondylar Line

Anatomy of Posterior Antebrachial Cutaneous Nerve Related to the Lateral Epicondyle and Interepicondylar Line

Anatomy of the Posterior Antebrachial Cutaneous Nerve: Practical Information for the Surgeon Operating on the Lateral Aspect of the Elbow

Relocation of Neuromas of the Lateral Antebrachial Cutaneous Nerve of the Forearm Into the Brachialis Muscle

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