Compression Neuropathy of Superficial Radial nerve by Variation of Course of Radial Artery in Distal Forearm - A case report -

원위 전완부에서 요골 동맥의 주행 변이로 발생된 표재성 요골 신경 압박증 - 1례 보고 -

  • Kim, Chong-Kwan (Department of Orthopedic Surgery Masan Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Ahn, Bung-Woo (Department of Orthopedic Surgery Masan Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Kwak, Wan-Sub (Department of Orthopedic Surgery Masan Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Jo, Jae-Il (Department of Orthopedic Surgery Masan Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Kim, Woo-Sik (Department of Orthopedic Surgery Masan Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Yoon, Jong-Ho (Department of Orthopedic Surgery Masan Samsung Hospital, Sungkyunkwan University School of Medicine)
  • 김종관 (성균관대학교 의과대학 마산삼성병원 정형외과학교실) ;
  • 안병우 (성균관대학교 의과대학 마산삼성병원 정형외과학교실) ;
  • 곽완섭 (성균관대학교 의과대학 마산삼성병원 정형외과학교실) ;
  • 조제일 (성균관대학교 의과대학 마산삼성병원 정형외과학교실) ;
  • 김우식 (성균관대학교 의과대학 마산삼성병원 정형외과학교실) ;
  • 윤종호 (성균관대학교 의과대학 마산삼성병원 정형외과학교실)
  • Published : 2006.05.31

Abstract

A 57-year-old male suffered from tingling and paraesthesia on radial side of right hand. We carried out exploration, the process being done, a radial artery passing between the two branches of bifurcated superficial radial nerve was found by accident. Then we performed dissection of the radial artrery a little more distally. It was passing above the extensors of thumb to anstomical snuff box. We treated it with ligating the radial artery, which was done a little above the bifurcated site of superficial radial nerve after angiography of upper extremity. While we were following this procedure, we noticed that symptoms had improved a lot. To our knowlege, neuropathy, by itself of superficial radial nerve by the radial artery with anatomical variation has never been reported and therefore we report this case.

Keywords