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Ultrasound-guided needle release plus corticosteroid injection of superficial radial nerve:A case report

World Journal of Clinical Cases 2022年第4期10卷 1320-1325页

作者： Zeng Zeng Cong-Xian Chen Department of Ultrasound Zhejiang Provincial People's HospitalHangzhou 310000Zhejiang ProvinceChina

BACKGROUND The radial nerve(RN)splits into two main branches at the elbow:The superficial branch of RN(SBRN)and the deep branch of *** SBRN can be easily damaged in acute trauma due to its superficial *** SUMMARY A 55-year-old male patient injured his right wrist 10 mo ***,suturing and bandaging were performed in the emergency *** months after the scar had healed,he felt numbness and tingling in the dorsal surface of the thumb of the right *** the surgery of resection and SBRN anastomosis were *** pathological findings showed it as traumatic *** months after surgery,the patient felt numbness and tingling in the right dorsal surface of the thumb *** tenderness was marked in the operated *** indicated that the SBRN was adhered to the surrounding *** patient refused further surgical treatment and underwent ultrasound-guided needle release plus corticosteroid injection of the *** weeks later,the tenderness in the surgical area was reduced by 70%,the numbness in the dorsal surface of the thumb of the right hand was reduced by 40%and the nerve swelling evaluated by ultrasound was *** months passed,he did not feel any numbness or tingling sensation of his right *** is the first report of ultrasound-guided needle release plus corticosteroid injection of the *** Ultrasound can evaluate the condition of the RN,and the relationship with surrounding ***-guided needle release plus corticosteroid injection is an effective and safe treatment for SBRN adhesion.

关键词： Ultrasound-guided Needle release superficial radial nerve Traumatic neuroma Corticosteroid injection Case report

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Anatomic location of the first dorsal extensor compartment for surgical De-Quervain’s tenosynovitis release:A cadaveric study

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World Journal of Orthopedics 2024年第4期15卷 379-385页

作者： Aditya Thandoni William Nicholas Yetter Steven Michael Regal Department of Orthopaedic Surgery Allegheny Health NetworkPittsburghPA 15212United States

BACKGROUND De-Quervain’s tenosynovitis is a disorder arising from the compression and irritation of the first dorsal extensor compartment of the *** who fail conservative treatment modalities are candidates for surgical ***,risks with surgery include damage to the superficial radial nerve and an incomplete release due to inadequate ***,there is a paucity of literature demonstrating the exact anatomic location of the first dorsal extensor compartment in reference to surface ***,this cadaveric study was performed to determine the exact location of the first extensor compartment and to devise a reliable surgical incision to prevent *** To describe the location of the first dorsal compartment in relation to bony surface landmarks to create replicable surgical *** Six cadaveric forearms,including four left and two right forearm specimens were *** were performed by a single fellowship trained upper extremity orthopaedic *** of the first dorsal compartment from landmarks such as Lister’s tubercle,the wrist crease,and the radial styloid were *** variables studied included the presence of the superficial radial nerve overlying the first dorsal compartment,additional compartment subsheaths,number of abductor pollicis longus(APL)tendon slips,and the presence of a *** Distance from the radial most aspect of the wrist crease to the extensor retinaculum was 5.14 mm±0.80 *** distance from Lister’s tubercle to the distal aspect of the extensor retinaculum was 13.37 mm±2.94 ***’s tubercle to the start of the first dorsal compartment was 18.43 mm±2.01 *** radial styloid to the initial aspect of the extensor retinaculum measured 2.98 mm±0.99 *** retinaculum length longitudinally on average was 26.82 mm±3.34 *** cadaveric forearms had separate extensor pollicis brevis *** average number of APL tendon slips was th

关键词： De-Quervain’s tenosynovitis First extensor compartment Cadaveric study superficial radial nerve radial styloid Lister’s tubercle

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