Strategies in Trauma and Limb Reconstruction

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VOLUME 7 , ISSUE 3 ( November, 2012 ) > List of Articles

CASE REPORT

Beware the painful nerve palsy; neurostenalgia, a diagnosis not to be missed

Jane Halliday, Tim Hems, Hamish Simpson

Keywords : Neurostenalgia, Limb lengthening, Decompression, Radial nerve

Citation Information : Halliday J, Hems T, Simpson H. Beware the painful nerve palsy; neurostenalgia, a diagnosis not to be missed. 2012; 7 (3):177-179.

DOI: 10.1007/s11751-012-0143-6

License: CC BY-NC-SA 4.0

Published Online: 01-06-2013

Copyright Statement:  Copyright © 2012; The Author(s).


Abstract

We present a case of painful radial nerve palsy following application of a humeral lengthening frame. At re-operation, the radial nerve was found to be compressed against a distal pin. This was re-sited providing immediate pain relief and a gradual resolution of the radial nerve palsy. Pain in association with a nerve palsy should alert the clinician to the possibility of nerve compression that may benefit from urgent decompression.


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  1. Birch R, Wynn Parry CB (1998) Surgical disorders of the peripheral nerves. Churchill Livingstone, Edinburgh
  2. Seddon H (1943) Three types of nerve injury. Brain 66:237-288
  3. Woolf CJ, Mannion RJ (1999) Neuropathic pain:aetiology, symptoms, mechanisms, and management. The Lancet 353:1959-1964
  4. Birch R (1990) A new type of peripheral nerve lesion. J Bone Jt surg 72:312-313
  5. Montgomery AS, Birch R, Malone A (2005) Sciatic neurostenalgia: caused by total hip arthroplasty, cured by late neurolysis. J Bone Jt Surg Br 87:410-411
  6. Stenning M, Drew S, Birch R (2005) Low-energy arterial injury at the shoulder with progressive or delayed nerve palsy. J Bone Jt Surg Br 87-B:1102-1106
  7. Camp SJ, Milani R, Sinsi M (2008) Intractable neurostenalgia of the ulnar nerve abolished by neurolysis 18 years after injury. J Hand Surg (European Volume) 33:45-46
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