Strategies in Trauma and Limb Reconstruction

Register      Login

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


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: 30-11-2012

Copyright Statement:  Copyright © 2012; Jaypee Brothers Medical Publishers (P) Ltd.


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.

PDF Share
  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
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.