• Title/Summary/Keyword: 신경포착증후군

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Carpal Tunnel Syndrome with Recurrent Motor Branch Entrapment: A Case Report (수근관 증후군에 동반된 운동 반회 신경 가지의 포착: 증례보고)

  • Kwon, Young Woo;Choi, In Cheul;Kwon, Hee-Kyu;Park, Jong Woong
    • Archives of Hand and Microsurgery
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    • v.23 no.4
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    • pp.267-270
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    • 2018
  • Recurrent motor branch entrapment syndrome is a compressive mononeuropathy of recurrent motor branch of median nerve. It is a rare condition as a cause of thenar muscle wasting and may have different pathogenesis. If such an anatomical variation is the cause, there is a possibility that thenar muscle atrophy remains if only the transcarpal ligament release is performed. We report a 25-year-old male patient with carpal tunnel syndrome with thenar muscle wasting 1 month ago.

Suprascapular Nerve Entrapment Syndrome Caused by Ganglion (결절종에 의한 견갑상신경 포착 증후군)

  • Kim Soung Yon;An Sung Chan;Chun Jae Myeung
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.1 no.1
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    • pp.65-70
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    • 2002
  • Purpose : To review the operative results and find out better method of a treatment of suprascapular nerve entrapment syndrome caused by ganglion. Materials and Methods : From March of 1996 to May of 2001, thirteen cases of suprascapular nerve entrapment syndrome caused by ganglion were reviewed which were diagnosed using physical examination, EMG and MRI. All of them were treated with open exision of ganglion, nerve decompression and arthroscopic examination. The clinical results were evaluated using subjective recovery of muscle power and ASES (American Shoulder and Elbow Surgeons) score. Results : Nine cases (69$\%$) showed residual symptom such as intermittent pain, insufficient recovery of muscle power, persistent muscle atrophy. Complete recovery in four cases (31$\%$). Mean value of ASES score was 86.4 (70-99.8) points. Postopertively, pain was relieved in 84$\%$ of patients and muscle power was improved in 53$\%$ of the patients but the atrophy persisted. Conclusions : Excision of ganglion is insuffient to relieve the nerve entrapment. Not only excision of ganglion but also treatment of intraarticular lesion, decompression of suprascapular and spinoglenoid notch which attributable to entrapment should be considered for the better clinical results.

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Compression Neuropathy (압박성 신경병증)

  • Kim, Byung-Sung
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.1 no.2
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    • pp.128-133
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    • 2008
  • Nerve compression is caused by external force or internal pathology, which symptom develops along nerve distribution. There are median, ulnar and radial nerve compression neuropathies below elbow. Carpal tunnel syndrome at the flexor retinaculum is most common among all the entrapment neuropathies. Other causes of median nerve neuropathy include Struther's ligament, biceps aponeurosis, pronator teres, FDS aponeurosis and aberrant muscles, which induce pronator syndrome or anterior interosseous nerve syndrome. Ulnar nerve can be compressed at the elbow by arcade of Struther, medial epicondylar groove, FCU two heads, which develops cubital tunnel syndrome, at the wrist by ganglion, fracture of hamate hook and vascular problem, which develops Guyon's canal syndrome. Radial tunnel syndrome is caused by supinator muscle, which compresses its deep branch. Treatment is conservative at initial stage like NSAID, night splint or steroid injection. If symptom persists, operative treatment should be considered after electrodiagnostic or imaging studies.

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Tarsal Tunnel Syndrome Caused by Benign Soft Tissue Tumor - Two Cases Report - (양성 종양에 의한 족근관 증후군 - 2예 보고 -)

  • Seo, Mu-Sam;Park, Han-Seong;Song, Mu-Ho;Park, Hyung-Taek;Ahn, Seung-Jun;Kim, Tae-Hyung;Shin, Seong-Jun
    • The Journal of the Korean bone and joint tumor society
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    • v.8 no.2
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    • pp.54-57
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    • 2002
  • Since Keck described the tarsal tunnel syndrome in 1962, it has been one of the most frequently diagnosed of the entrapment neuropathies. Tarsal tunnel syndrome is usually of unknown origin, benign tumor may be one of the causes of tarsal tunnel syndrome. The object of the current study is to report our experience of surgical treatment about tarsal tunnel syndrome caused by neurilemmoma in 32-year-old female and by ganglion in 39-year-old male with a review of the literature.

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Morton's Neuroma (Interdigital Neuritis) (모턴씨 신경종(족지간 신경염))

  • Park, Hyun-Woo
    • Journal of Korean Foot and Ankle Society
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    • v.15 no.2
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    • pp.58-61
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    • 2011
  • Morton's neuroma is a common cause of forefoot pain, and is also known to be a entrapment neuropathy rather than a true tumor. Precise physical examination is necessary to differentiate from other diagnoses of similar symptoms. If proper conservative treatment modalities fail for this neuritis, neurectomy of interdigital nerve is generally performed, with the results of up to 80% of patient's satisfaction. However the failure rate of 2% to 35% should be improved by proper diagnosis and careful surgery.

Treatment of Superficial Peroneal Nerve Entrapment Syndrome under Local Anesthesia using Ultrasonogram (초음파를 이용한 국소마취하 표재비골신경 포착증후군의 치료)

  • Lee, Kyung-Chan;Kwak, Ji-Hoon;Hwang, Chul-Ho;Park, Hong-Gi
    • Journal of Korean Foot and Ankle Society
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    • v.17 no.3
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    • pp.215-219
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    • 2013
  • Purpose: To review the outcomes of surgical treatment for superficial peroneal nerve entrapment. Materials and Methods: Ultrasonogram was used for diagnosis and surgical treatment. Seven superficial peroneal nerve entrapment were surgically treated with follow up of average 16 months (range, 6~29 months). Three patients were male and four patients were female with mean age 36.7 years (range, 19~51 years). Four cases developed after repetitive ankle sprain and three cases had no etiology. Results: Operation was performed mini-open and subcutaneous fasciotomy under local anesthesia. The results were excellent in two cases, good in four cases, fair in one case. Conclusion: Ultrasonogram was useful for diagnosis and surgical treatment of superficial peroneal nerve entrapment syndrome.

Entrapment of Superficial Peroneal Nerve (A Case Report) (표재비골신경 포착증후군(1예보고))

  • Kim, Jin-Su;Cheon, Ho-Jun;Jeon, Jun-Mo
    • Journal of Korean Foot and Ankle Society
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    • v.12 no.2
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    • pp.227-229
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    • 2008
  • We experienced a case of an athlete with a painful mass on the distal peroneal musculature after sports activity, and diagnosed as the entrapment syndrome of superficial peroneal nerve. We treated the case with the mini-open and subcutaneous fasciotomy to release the entrapped peroneal nerve. We report the case with a review of the literature.

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Superficial Peroneal Nerve Entrapment Syndrome (A Case Report) (표재비골신경 포착증후군(1예 보고))

  • Chae, Soo-Uk;Kim, Yeung-Jin;Choi, Byong-San;Song, Ha-Heon
    • Journal of Korean Foot and Ankle Society
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    • v.16 no.1
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    • pp.62-64
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    • 2012
  • Superficial peroneal nerve entrapment is an uncommon compression neuropathy, and is frequently associated with a fascial defect and a muscle hernia. The standard treatment of that was the nerve decompression by complete or limited fasciotomy. But, we experienced a case of superficial peroneal nerve entrapment had satisfactory surgical outcome by fascial repair of peroneus muscle.