Dual pathology proximal median nerve compression of the forearm.

Hdl Handle:
http://hdl.handle.net/10147/325991
Title:
Dual pathology proximal median nerve compression of the forearm.
Authors:
Murphy, Siun M; Browne, Katherine; Tuite, David J; O'Shaughnessy, Michael
Affiliation:
Department of Plastic Reconstructive and Hand Surgery, Cork University Hospital, Wilton Road, Cork, Ireland. Electronic address: siunmurphy@gmail.com.
Citation:
Dual pathology proximal median nerve compression of the forearm. 2013, 66 (12):1792-4 J Plast Reconstr Aesthet Surg
Journal:
Journal of plastic, reconstructive & aesthetic surgery : JPRAS
Issue Date:
Dec-2013
URI:
http://hdl.handle.net/10147/325991
DOI:
10.1016/j.bjps.2013.04.054
PubMed ID:
23707555
Abstract:
We report an unusual case of synchronous pathology in the forearm- the coexistence of a large lipoma of the median nerve together with an osteochondroma of the proximal ulna, giving rise to a dual proximal median nerve compression. Proximal median nerve compression neuropathies in the forearm are uncommon compared to the prevalence of distal compression neuropathies (eg Carpal Tunnel Syndrome). Both neural fibrolipomas (Refs. 1,2) and osteochondromas of the proximal ulna (Ref. 3) in isolation are rare but well documented. Unlike that of a distal compression, a proximal compression of the median nerve will often have a definite cause. Neural fibrolipoma, also called fibrolipomatous hamartoma are rare, slow-growing, benign tumours of peripheral nerves, most often occurring in the median nerve of younger patients. To our knowledge, this is the first report of such dual pathology in the same forearm, giving rise to a severe proximal compression of the median nerve. In this case, the nerve was being pushed anteriorly by the osteochondroma, and was being compressed from within by the intraneural lipoma. This unusual case highlights the advantage of preoperative imaging as part of the workup of proximal median nerve compression.
Item Type:
Article
Language:
en
Keywords:
PATHOLOGY; RADIOGRAPHY
Local subject classification:
FOREARM
MeSH:
Bone Neoplasms; Decompression, Surgical; Female; Forearm; Humans; Magnetic Resonance Imaging; Median Nerve; Median Neuropathy; Middle Aged; Nerve Compression Syndromes; Neurosurgical Procedures; Osteochondroma; Peripheral Nervous System Neoplasms; Tomography, X-Ray Computed; Ulna
ISSN:
1878-0539

Full metadata record

DC FieldValue Language
dc.contributor.authorMurphy, Siun Men_GB
dc.contributor.authorBrowne, Katherineen_GB
dc.contributor.authorTuite, David Jen_GB
dc.contributor.authorO'Shaughnessy, Michaelen_GB
dc.date.accessioned2014-09-09T08:23:46Z-
dc.date.available2014-09-09T08:23:46Z-
dc.date.issued2013-12-
dc.identifier.citationDual pathology proximal median nerve compression of the forearm. 2013, 66 (12):1792-4 J Plast Reconstr Aesthet Surgen_GB
dc.identifier.issn1878-0539-
dc.identifier.pmid23707555-
dc.identifier.doi10.1016/j.bjps.2013.04.054-
dc.identifier.urihttp://hdl.handle.net/10147/325991-
dc.description.abstractWe report an unusual case of synchronous pathology in the forearm- the coexistence of a large lipoma of the median nerve together with an osteochondroma of the proximal ulna, giving rise to a dual proximal median nerve compression. Proximal median nerve compression neuropathies in the forearm are uncommon compared to the prevalence of distal compression neuropathies (eg Carpal Tunnel Syndrome). Both neural fibrolipomas (Refs. 1,2) and osteochondromas of the proximal ulna (Ref. 3) in isolation are rare but well documented. Unlike that of a distal compression, a proximal compression of the median nerve will often have a definite cause. Neural fibrolipoma, also called fibrolipomatous hamartoma are rare, slow-growing, benign tumours of peripheral nerves, most often occurring in the median nerve of younger patients. To our knowledge, this is the first report of such dual pathology in the same forearm, giving rise to a severe proximal compression of the median nerve. In this case, the nerve was being pushed anteriorly by the osteochondroma, and was being compressed from within by the intraneural lipoma. This unusual case highlights the advantage of preoperative imaging as part of the workup of proximal median nerve compression.en_GB
dc.language.isoenen
dc.rightsArchived with thanks to Journal of plastic, reconstructive & aesthetic surgery : JPRASen_GB
dc.subjectPATHOLOGYen_GB
dc.subjectRADIOGRAPHYen_GB
dc.subject.meshBone Neoplasms-
dc.subject.meshDecompression, Surgical-
dc.subject.meshFemale-
dc.subject.meshForearm-
dc.subject.meshHumans-
dc.subject.meshMagnetic Resonance Imaging-
dc.subject.meshMedian Nerve-
dc.subject.meshMedian Neuropathy-
dc.subject.meshMiddle Aged-
dc.subject.meshNerve Compression Syndromes-
dc.subject.meshNeurosurgical Procedures-
dc.subject.meshOsteochondroma-
dc.subject.meshPeripheral Nervous System Neoplasms-
dc.subject.meshTomography, X-Ray Computed-
dc.subject.meshUlna-
dc.subject.otherFOREARMen_GB
dc.titleDual pathology proximal median nerve compression of the forearm.en_GB
dc.typeArticleen
dc.contributor.departmentDepartment of Plastic Reconstructive and Hand Surgery, Cork University Hospital, Wilton Road, Cork, Ireland. Electronic address: siunmurphy@gmail.com.en_GB
dc.identifier.journalJournal of plastic, reconstructive & aesthetic surgery : JPRASen_GB
dc.description.fundingNo fundingen
dc.description.provinceMunsteren
dc.description.peer-reviewpeer-reviewen

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