Case Report
Year 2018,
Volume: 19 Issue: 4, 145 - 148, 26.10.2018
Abstract
The musculocutaneous nerve arises from the
lateral cord of the brachial plexus. It innervates
muscles such as the biceps brachi and
brachialis. Ulnar nerve is the major terminal
branche of brachial Plexus. The deep motor
branch of the ulnar nerve is a terminal primarily
motor branch of the ulnar nerve. At its origin it
innervates the hypothenar muscles. Nerve
injury due to isolated trauma is rarely seen.
Musculocutaneous and deep ulnar motor
branch neuropathy can be caused by repetitive
trauma. We present report of two cases of (65
year old female and 40 year old male) isolated
nerve injury who complaine of atrophy painless
and weakness. Electrophysiological testing
revealed a musculocutaneous and deep ulnar
nerve neuropathy. Magnetic resonance imaging
and electrodiagnostic studies may be useful in
differentiating between these conditions. In the
literature, there are very few cases in which
ısolated lesions of the musculocutaneous and
deep ulnar motor nerves lesion have been
attributed to a single trauma.
References
- 1. Stockert BW. Peripheral Neuropathies (In) Umphred DA (Ed) Neurological Rehabilitation. 3st ed. St Louis. Mosby-Year Book, 1995;360-374.
- 2. Stillwell GK, Thorsteinsson G. Rehabilitation Procedures (In) Dyck PJ, Thomas PK (Eds) Peripheral Neuropathy. 3st ed. Philadelphia. WB Saunders Comp, 1993;1692-1708.
- 3. Giugale JM, Henrikson KJ, Baronne LM, Lee JY. Traumatic brachial plexus root avulsion and cervical spine epidural hematoma in an 18-year-old man. Spine J 2015;15:365-366.
- 4. Fabre T, Piton C, Andre D, Lasseur E, Durandeau A. Peroneal nerve entrapment. J Bone Joint Surg Am 1998;80:47-53.
- 5. Seror P. Ulnar nerve lesion at the wrist and sport: A report of 8 cases compared with 45 non-sport cases. Ann Phys Rehabil Med 2015;58:104-109.
- 6. Juel VC, Kiely JM, Leone KV, Morgan RF, Smith T, Phillips LH. Isolated musculocutaneous neuropathy caused by a proximal humeral exostosis. J Child Neurol 2011;26:1567-1570.
- 7. Murata K, Shih JT, Tsai M. Causes of ulnar tunnel syndrome: a retros- pective study of 31 subjects. J Hand Surg Am 2003;28:647-651.
- 8. Henry D, Bonthius DJ. Isolated musculocutaneous neuropathy in an adolescent baseball pitcher. Neurology 2000;54:494-496.
- 9. Swain R. Musculocutaneous nerve entrapment: a case report. Clin J Sport Med 1995;5:196-198.
- 10. Pećina M, Bojanić I. Musculocutaneous nerve entrapment in the upper arm. Int Orthop 1993;17:232-234.
- 11. Mastaglia FL. Musculocutaneous neuropathy after strenuous physical activity. Med J Aust 1986;145:153-154.
- 12. Wang B, Zhao Y, Lu A, Chen C. Ulnar nerve deep branch compression by a ganglion: a review of nine cases. Injury 2014;45:1126-1130. 148
Year 2018,
Volume: 19 Issue: 4, 145 - 148, 26.10.2018
Abstract
Muskulokutanöz sinir brakiyal pleksus lateral
kordundan ayrılır. Biceps braki ve brakiyalis gibi
kasları innerve eder. Ulnar sinir ise brakiyal pleksusun
major terminal dalıdır. Ulnar sinirin terminal
dalı derin ulnar motor daldır. Hipotenar
kasları innerve eder. İzole travmatik sinir hasarı
oldukça nadir görülmektedir. İzole travma nedeniyle
sinir hasarı gelişmesi nadir bir durumdur.
Biz bu yazıda atrofi ve ağrısız güçsüzlük yakınmasıyla
başvuran iki izole sinir hasarı olgusu
(65 yaşında kadın ve 40 yaşında erkek) sunduk.
Olgularımızdaki muskulokutanöz ve derin ulnar
motor dal nöropatisinin tek bir travmadan kaynaklandığını
düşünmekteyiz. Yapılan elektrodiagnostik
testler, izole muskulokutanöz ve derin
ulnar motor sinir nöropatisini göstermiştir.
Manyetik rezonans görüntüleme ve elektrofizyolojik
çalışmalar bu hastalıkların ayırıcı tanısında
faydalıdır. Literatürde izole muskulokutanöz
ve derin ulnar motor sinir hasarının, tek bir travma
nedeniyle oluştuğunu bildiren çok az sayıda
olgu sunumu vardır.
References
- 1. Stockert BW. Peripheral Neuropathies (In) Umphred DA (Ed) Neurological Rehabilitation. 3st ed. St Louis. Mosby-Year Book, 1995;360-374.
- 2. Stillwell GK, Thorsteinsson G. Rehabilitation Procedures (In) Dyck PJ, Thomas PK (Eds) Peripheral Neuropathy. 3st ed. Philadelphia. WB Saunders Comp, 1993;1692-1708.
- 3. Giugale JM, Henrikson KJ, Baronne LM, Lee JY. Traumatic brachial plexus root avulsion and cervical spine epidural hematoma in an 18-year-old man. Spine J 2015;15:365-366.
- 4. Fabre T, Piton C, Andre D, Lasseur E, Durandeau A. Peroneal nerve entrapment. J Bone Joint Surg Am 1998;80:47-53.
- 5. Seror P. Ulnar nerve lesion at the wrist and sport: A report of 8 cases compared with 45 non-sport cases. Ann Phys Rehabil Med 2015;58:104-109.
- 6. Juel VC, Kiely JM, Leone KV, Morgan RF, Smith T, Phillips LH. Isolated musculocutaneous neuropathy caused by a proximal humeral exostosis. J Child Neurol 2011;26:1567-1570.
- 7. Murata K, Shih JT, Tsai M. Causes of ulnar tunnel syndrome: a retros- pective study of 31 subjects. J Hand Surg Am 2003;28:647-651.
- 8. Henry D, Bonthius DJ. Isolated musculocutaneous neuropathy in an adolescent baseball pitcher. Neurology 2000;54:494-496.
- 9. Swain R. Musculocutaneous nerve entrapment: a case report. Clin J Sport Med 1995;5:196-198.
- 10. Pećina M, Bojanić I. Musculocutaneous nerve entrapment in the upper arm. Int Orthop 1993;17:232-234.
- 11. Mastaglia FL. Musculocutaneous neuropathy after strenuous physical activity. Med J Aust 1986;145:153-154.
- 12. Wang B, Zhao Y, Lu A, Chen C. Ulnar nerve deep branch compression by a ganglion: a review of nine cases. Injury 2014;45:1126-1130. 148
There are 12 citations in total.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Case Report |
| Authors | |
| Publication Date | October 26, 2018 |
| Acceptance Date | August 1, 2017 |
| Published in Issue | Year 2018 Volume: 19 Issue: 4 |
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