Wartenberg’s Syndrome: an Unusual Bilateral Case.

Etiological study of superficial radial nerve neuropathy: series of 34 patients

“…The iatrogenic injury was caused by radial tunnel release (2), phlebotomy (2), carpometacarpal joint (CMC) joint surgery (2), biceps tendon repair (2), surgery for de Quervain's synovitis (1), rotator cuff repair (1), reverse shoulder replacement (1), excision of ganglion cyst (1), injury from hand restraint while in ICU (1), excision of a granular cell tumor in the proximal forearm (1), and repair of a radial fracture (1). Extrinsic compression was the cause in 3 (9%; wearing a Fitbit and typing for several hours [1], handcuffs [1], and prolonged pressure on the forearm while comatose [1]). Intrinsic compression from a cyst near the SRN was the cause in 2 (6%).…”

“…Focal neuropathy of the superficial radial nerve (SRN) causes pain, burning, numbness, tingling, and dysesthesias of the dorsolateral aspect of the distal forearm and hand involving the dorsolateral three and a half fingers extending to the distal interphalangeal joint (1)(2)(3)(4)(5)(6). Initially reported in a patient with wrist watch compression in 1926 by Schlesigner and Matzdorff, this condition was later referred to as Wartenberg's syndrome after Wartenberg described 5 patients in 1932 with neuropathy involving the SRN (1-4, 7, 8).…”

“…Focal neuropathy of the superficial radial nerve (SRN) causes pain, burning, numbness, tingling, and dysesthesias of the dorsolateral aspect of the distal forearm and hand involving the dorsolateral three and a half fingers extending to the distal interphalangeal joint ( 1–6 ). Initially reported in a patient with wrist watch compression in 1926 by Schlesigner and Matzdorff, this condition was later referred to as Wartenberg’s syndrome after Wartenberg described 5 patients in 1932 with neuropathy involving the SRN ( 1–4 , 7 , 8 ). Due to the clinical similarities between this condition and meralgia paresthetica (lateral femoral cutaneous nerve neuropathy of the lower extremity) initially reported by Hager in 1885 ( 9 ), Wartenberg described SRN neuropathy as cheiralgia paresthetica ( 1 , 10 , 11 ).…”

Upper Extremity Entrapment Neuropathy

“…It is superficial by piercing the fascia between the brachioradialis and extensor carpi radialis longus muscle tendons approximately 8-9 cm above the radial styloid. [51,52] Upper Extremity Entrapment Neuropathy DOI: http://dx.doi.org/10.5772/intechopen.98279 Description: It is a condition characterized by the compression of the superficial sensory branch of the radial nerve at the level of the wrist. [1,8,50,52] Causes: Distal radius fractures, penetrating injuries, a tight watch strap or hand cuffs, a tight cast or splint, repetitive exercise (e.g.…”

“…rowing), iatrogenic injury, lipoma and bony spurs are important factors causing nerve compression. [1,51,52] Clinical features: Patients usually complain of pain and numbness on the dorsal and lateral side of the hand. It is a pure sensory nerve so there is no motor deficits.…”