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

Atherton, Duncan; Elliot, David

doi:10.1016/j.jhsb.2006.10.012

Cited by 23 publications

(16 citation statements)

References 21 publications

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“…For example, zone I neuromas can be buried in the lateral aspect of the proximal phalanx or in the dorsolateral surface of the nearest metacarpal bone, 9 zone II neuromas in the pronator quadratus muscle, 10,12,42 and zone III neuromas in the brachialis or brachioradialis muscle. 11,43 Analysis in this study revealed that neither the zone nor the involvement of digits had any impact in pain assessment or functionality.…”

Section: Discussionmentioning

confidence: 54%

Outcomes of the Surgical Treatment of Peripheral Neuromas of the Hand and Forearm

Guse

Moran

2013

Annals of Plastic Surgery

117

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Treatment of upper extremity neuromas remains a complicated problem. Within this study, nerve repair yielded improved DASH scores compared with nerve transposition or the use of simple resection. Resection alone was associated with an unacceptable recurrence rate and should be discouraged as treatment for upper extremity neuromas. Prior surgical procedures, neuroma size, and the severity of preoperative pain may all adversely impact the success of surgical intervention.

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Section: Discussionmentioning

confidence: 54%

Outcomes of the Surgical Treatment of Peripheral Neuromas of the Hand and Forearm

Guse

Moran

2013

Annals of Plastic Surgery

117

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“…is used. [ 19 , 20 , 29 , 30 , 39 , 50 , 66 ] We think that this factor as such, cannot explain the low predictive value. Recently, it has become possible to directly visualize and identify small nerves with high-resolution ultrasound.…”

Section: Discussionmentioning

confidence: 99%

Predictive value of a diagnostic block in focal nerve injury with neuropathic pain when surgery is considered

et al. 2018

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ObjectIn patients with focal nerve injury and neuropathic pain cutting the nerve to obtain permanent pain reduction can be considered. Surgery is indicated only if a diagnostic nerve block provides temporary pain relief. We evaluated the predictive value of a block on the outcome of surgery.MethodsIn total, three blocks were performed at two week intervals. Patients were blinded to injections containing lidocaine 1% and a placebo was included. Surgery was offered regardless of the effect of the blocks. Twenty-four patients received 72 blocks. Sixteen patients opted for surgery, 5 patients refrained from surgery, and in 3 the blocks provided permanent pain relief. The predictive ability of the block on the outcome of surgery was assessed by calculating the area under a Receiver Operating Characteristic curve (AUC).ResultsThe AUC of the first lidocaine block was 0.35 with a 95% confidence interval from 0.077 to 0.62. At 95% confidence (two-sided), the AUC is less than 0.62, and hence the predictive ability of the block was poor. The outcome of the second lidocaine block and saline block did not change the conclusion of the first block.ConclusionsWe conclude that the use of blocks to select patients for surgery should be critically appraised.PerspectiveA pain relieving response to one open block is currently considered mandatory before patients with focal nerve injury and neuropathic pain are offered surgery. Blinded blocks including a placebo show that responses for selection should be carefully interpreted because they may not be as predictive as generally presumed.

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“…If there is no recovery within 3–6 months, surgical resection of the nerve, or neuroma may be required. Proximal relocation into the brachialis muscle above the elbow is also beneficial for the intractable pain that is often associated with a neuroma (Yuan and Cohen,1985; Atherton and Elliot,2007; Atherton et al,2008). The patient in this case report declined surgery because of the limited impact that the nerve injury had on her daily life and her reluctance to risk having a large scar on her forearm.…”

Section: Discussionmentioning

confidence: 99%

Injury to the lateral cutaneous nerve of forearm after venous cannulation: A case report and literature review

2011

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Venepuncture may be associated with nerve injuries and is commonly performed at the median cubital vein (MCV). Injuries to the superficial radial nerve at the wrist and to the median nerve, anterior and posterior interosseus nerves and medial and lateral cutaneous nerves (LCN) of the forearm at the cubital fossa have been reported. The LCN is a sensory branch of the musculocutaneous nerve and the position of the nerve in relation to the MCV is variable within the cubital fossa. The LCN supplies sensory innervation to the C6 dermatome corresponding to an area of skin overlying the radial border of the forearm. We report the case of a 30-year-old right-handed woman who presented with loss of sensation in the left forearm after donating blood at a transfusion centre. This was due to an injury of the LCN. After 3, 18 and 36 months of follow-up, the sensory deficit had only improved minimally. The lack of recovery of the sensation after 36 months indicates a permanent nerve injury such as neurotmesis rather than neurapraxia of the LCN. A thorough knowledge of the clinical anatomy of the MCV and the LCN, which is highlighted, is essential in preventing venepuncture-associated nerve injury. Clin. Anat. 25:659-662, 2012. V V C 2011 Wiley Periodicals, Inc.

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

Cited by 23 publications

References 21 publications

Outcomes of the Surgical Treatment of Peripheral Neuromas of the Hand and Forearm

Outcomes of the Surgical Treatment of Peripheral Neuromas of the Hand and Forearm

Predictive value of a diagnostic block in focal nerve injury with neuropathic pain when surgery is considered

Injury to the lateral cutaneous nerve of forearm after venous cannulation: A case report and literature review

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