PMID: 9658350Jul 11, 1998Paper

Musculocutaneous nerve entrapment revisited

Journal of Shoulder and Elbow Surgery
J J DavidsonJ A Nunley

Abstract

Compression of the lateral cutaneous nerve of the forearm (LCNF), the distal sensory termination of the musculocutaneous nerve, can occur below the biceps aponeurosis, most commonly after strenuous elbow extension or forearm pronation. Between 1965 and 1992, 15 patients reported pain in the anterolateral elbow with "burning" into the forearm. There was a minimum 2-year follow-up of all patients in the study (average 13.4 years, median 15 years). All patients were managed conservatively for 12 weeks. Of the 15 patients, 11 required operative decompression that involved resecting a triangular wedge of aponeurosis overlying the nerve. Of the four nonoperative patients, one had persistent hypesthesia even though pain was relieved and range of motion was restored. Of the 11 patients treated operatively, none had recurrence of hypesthesia, and all patients continued to have complete relief of pain and full range of motion. One additional patient required surgery for lateral epicondylitis 2 years later. There were no operative complications.

References

Jan 1, 1978·Archives of Physical Medicine and Rehabilitation·H A Spindler, G Felsenthal
Jan 1, 1993·International Orthopaedics·M Pećina, I Bojanić

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Citations

Dec 17, 2009·HSS Journal : the Musculoskeletal Journal of Hospital for Special Surgery·Diana BesleagaJoseph H Feinberg
Mar 5, 2004·The Neurologist·Lauren Elman, Leo McCluskey
Mar 6, 2012·The Journal of Hand Surgery·David M BroganAlexander Y Shin
Oct 5, 2010·Clinics in Sports Medicine·Sanaz Hariri, Timothy R McAdams
Jan 24, 2007·Journal of Shoulder and Elbow Surgery·A Feroz Dinah, Vipul R Patel
Dec 4, 2004·The Journal of Hand Surgery·Nash H Naam, Hakim A Massoud
Oct 6, 2006·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Veronica MacchiRaffaele De Caro
Jun 18, 2010·Orthopaedics & Traumatology, Surgery & Research : OTSR·D M SeoigheK J Mulhall
Feb 15, 2001·The Journal of Hand Surgery·E Belzile, D Cloutier
Mar 3, 2001·Clinics in Sports Medicine·J W AldridgeM P Rosenwasser
Dec 7, 2019·Skeletal Radiology·My-Linh NguyenAdam D Singer
Apr 23, 2021·The Journal of Hand Surgery, European Volume·Jorma RyhänenSauli Kujala

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