Gross PT, Jones HR Jr (1992) Proximal median neuropathies: electromyographic and clinical correlation. Qattan MA, Bowen C (1993) Distal rupture of the biceps tendon with median nerve neurological symptoms. Seitz WH Jr, Matsuoka H, McAdoo J, Sherman G, Stickney DP (2007) Acute compression of the median nerve at the elbow by the lacertus fibrosus. J Neurol Neurosurg Psychiatry 45:181–182. Martinelli P, Gabellini AS, Poppi M, Gallassi R, Pozzati E (1982) Pronator syndrome due to thickened bicipital aponeurosis. Swiggett R, Ruby LK (1986) Median nerve compression neuropathy by the lacertus fibrosus: report of three cases. Nelson KR, Goodheart R, Salotto A, Tibbs P (1994) Median nerve entrapment beneath the bicipital aponeurosis: investigation with intraoperative short segment stimulation. Laha RK, Lunsford LD, Dujovny M (1978) Lacertus fibrosus compression of the median nerve. Hagert E (2013) Clinical diagnosis and wide-awake surgical treatment of proximal median nerve entrapment at the elbow: a prospective study. American Society for Surgery of the Hand, Rosemont, pp 451–466 In: Slutsky D (ed) Upper extremity nerve repair - tips and techniques: a master skills publication. Hagert E, Hagert C (2008) Manual muscle testing - a clinical examination technique for diagnosing focal neuropathies in the upper extremity. Stål M, Hagert CG, Englund JE (2004) Pronator syndrome: a retrospective study of median nerve entrapment at the elbow in female machine milkers. Johnson RK, Spinner M, Shrewsbury MM (1979) Median nerve entrapment syndrome in the proximal forearm. ![]() Hartz CR, Linscheid RL, Gramse RR, Daube JR (1981) The pronator teres syndrome: compressive neuropathy of the median nerve. Jordan SE (2020) The lacertus syndrome of the elbow in throwing athletes. Peters BR, Pripotnev S, Chi D, Mackinnon SE (2022) Complete foot drop with normal electrodiagnostic studies: Sunderland “zero ” ischemic conduction block of the common peroneal nerve. Meyer P, Lintingre P-F, Pesquer L, Poussange N, Silvestre A, Dallaudière B (2018) The median nerve at the carpal tunnel … and elsewhere. ConclusionĪ simple surgical release of the lacertus fibrosus significantly decreases the maximal perineural pressure of the median nerve at the level of the lacertus fibrosus during elbow flexion. The mean Pmax after the lacertus release decreased with an average 81.41%. The mean Pmax before the lacertus release was significantly different than the mean Pmax after the lacertus release (669.15 mmHg vs 77.01 mmHg, p = 0.0180). Perineural pressure of the median nerve at the level of the lacertus fibrosus was measured continuously during automated elbow flexions by the biceps brachii muscle. Seven upper limbs from four fresh cadavers were included. ![]() This study evaluates if a lacertus release alters the maximal perineural pressure (Pmax) of the median nerve at the level of the lacertus fibrosus during elbow flexion. Lacertus syndrome with motor and/or sensory symptoms has been addressed with a minimally invasive surgical lacertus release. The lacertus fibrosus (or bicipital aponeurosis) is a potential site of proximal median neuropathy at the elbow.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |