Neuropathies of digital nerves are an infrequent phenomenon and their causes are most often mechanical. A rare cause of acute neuropathy is hourglass-like fascicular constriction of a nerve due to torsion. Although several cases of hourglass-like constriction have been described in the literature, none to our knowledge involved digital nerves. In this report, we present the first case of hourglass-like constriction of a digital nerve.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7104038PMC
http://dx.doi.org/10.1016/j.hansur.2017.11.005DOI Listing

Publication Analysis

Top Keywords

hourglass-like constriction
12
case hourglass-like
8
digital nerve
8
digital nerves
8
constriction
4
constriction neuropathy
4
digital
4
neuropathy digital
4
nerve neuropathies
4
neuropathies digital
4

Similar Publications

Neuralgic amyotrophy with hourglass-like constrictions: A case report.

World J Clin Cases

December 2024

Department of Physical Medicine and Rehabilitation, Dongnam Institute of Radiological and Medical Sciences, Busan 46033, South Korea.

Article Synopsis
  • - Neuralgic amyotrophy (NA) is a rare condition characterized by sudden shoulder pain followed by weakness in the arm, primarily affecting the upper brachial plexus, and can often mimic cervical radiculopathy due to its similar symptoms.
  • - A 76-year-old male developed NA after hip surgery, experiencing shoulder pain and arm weakness; diagnostic imaging confirmed brachial plexopathy and unique signs of NA including a focal constriction at the suprascapular nerve.
  • - Treatment for NA involved corticosteroids and physical therapy, leading to significant recovery in shoulder muscle strength within a month, highlighting the importance of recognizing NA's distinct features for accurate diagnosis.
View Article and Find Full Text PDF

Background: Spontaneous anterior interosseous nerve (AIN) palsy is characterized by the sudden onset of upper limb pain followed by weakness of muscles mainly innervated by the AIN. Although this palsy is conventionally treated conservatively, interfascicular neurolysis to release hourglass-like fascicular constrictions has been recommended. The present study aimed to establish the clinical characteristics and treatment strategy for this condition.

View Article and Find Full Text PDF

Early aggressive constriction resection for hourglass-like constriction of peripheral nerve in the upper extremity: a retrospective study.

Neurochirurgie

November 2024

Department of Peripheral Nerve, RenCi Hospital, No.11 Yang Shan Road, Xu Zhou 221005, China. Electronic address:

Objectives: The hourglass like constriction (HGC) of peripheral nerves is a characteristic pathological manifestation of Neuralgic Amyotrophy. Once identified, early surgical intervention is essential. However, the method of surgery is controversial, particularly regarding whether HGC needs to be excised.

View Article and Find Full Text PDF

Neuralgic amyotrophy (NA) is an underrecognized peripheral nerve disorder distinguished by severe pain followed by weakness in the distribution of one or more nerves, most commonly in the upper extremity. While classically felt to carry a favorable prognosis, updates in research have demonstrated that patients frequently endure delay in diagnosis and continue to experience long term pain, paresis, and fatigue even years after the diagnosis is made. A transition in therapeutic approach is recommended and described by this review, which emphasizes the necessity to target compensatory abnormal motor control and fatigue by focusing on motor coordination, energy conservation strategies, and behavioral change, rather than strength training which may worsen the symptoms.

View Article and Find Full Text PDF

Single center experience with hourglass-like constriction neuropathy of suprascapular nerve.

Muscle Nerve

November 2024

Department of Physical and Rehabilitation Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.

Article Synopsis
  • * A retrospective review identified 14 patients with HGC of the SSN, with MRI indicating constriction primarily between the nerve's origin and the suprascapular notch, and most patients receiving non-operative treatment.
  • * Findings suggest that conservative management is often effective, with significant recovery noted in the majority of patients after at least 6 months, indicating that immediate invasive treatment may not be necessary.
View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!