How to Trip Rapid Review

Step 1: Select articles relevant to your search (remember the system is only optimised for single intervention studies)

Step 2: press

Step 3: review the result, and maybe amend the or if you know better! If we're unsure of the overall sentiment of the trial we will display the conclusion under the article title. We then require you to tell us what the correct sentiment is.

492 results for

Median Nerve Injury at the Elbow

by
...
Alerts

Export results

Use check boxes to select individual results below

SmartSearch available

Trip's SmartSearch engine has discovered connected searches & results. Click to show

1. Relationship of the Median and Radial Nerves at the Elbow: Application to Avoiding Injury During Venipuncture or Other Invasive Procedures of the Cubital Fossa (PubMed)

Relationship of the Median and Radial Nerves at the Elbow: Application to Avoiding Injury During Venipuncture or Other Invasive Procedures of the Cubital Fossa The median and radial nerves are two important neural structures found in the cubital fossa. The trajectory and landmarks used to identify their location are important when procedures are done in this area.Ten fresh-frozen cadavers were dissected (20 upper limbs) and measurements were taken from the medial epicondyle to the median (...) tried to identify the course of these nerves in order to prevent their injury during procedures.After identifying the medial epicondyle, using the results we obtained, physicians may have a better understanding of where the median and radial nerves lie within the cubital fossa when performing procedures in this area.

Full Text available with Trip Pro

2017 Cureus

2. Median Nerve Injury at the Elbow

Median Nerve Injury at the Elbow Median Nerve Injury at the Elbow Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Median Nerve Injury (...) at the Elbow Median Nerve Injury at the Elbow Aka: Median Nerve Injury at the Elbow , Pronator Syndrome From Related Chapters II. Pathophysiology compression of the via the pronator teres muscle III. Differential Diagnosis IV. Symptoms discomfort and ache Provoked with elbow extension s in the thumb, index and middle finger V. Signs Sensory loss over thenar eminence (not present in ) absent (contrast with ) Phalen maneuver (contrast with ) Normal sensation Sensation in fingers may also be normal VI

2018 FP Notebook

3. Outcomes of single versus double fascicular nerve transfers for restoration of elbow flexion in patients with brachial plexus injuries: a systematic review and meta-analysis. (PubMed)

Outcomes of single versus double fascicular nerve transfers for restoration of elbow flexion in patients with brachial plexus injuries: a systematic review and meta-analysis. Elbow flexion after upper brachial plexus injury may be restored by a nerve transfer from the ulnar nerve to the biceps motor branch with an optional nerve transfer from the median nerve to the brachialis motor branch (single and double fascicular nerve transfer). This meta-analysis assesses the effectiveness of both (...) not result in a significantly more patients reaching MRC≥3 elbow flexion. Double fascicular nerve transfer may result in more patients reaching MRC≥4 in patients with a pre-operative delay under 6 months. The median nerve may be preserved or used for another nerve transfer without substantially impairing elbow flexion restoration.

2019 Plastic and reconstructive surgery

4. Outcomes of Single versus Double Fascicular Nerve Transfers for Restoration of Elbow Flexion in Patients with Brachial Plexus Injuries: A Systematic Review and Meta-Analysis. (PubMed)

Outcomes of Single versus Double Fascicular Nerve Transfers for Restoration of Elbow Flexion in Patients with Brachial Plexus Injuries: A Systematic Review and Meta-Analysis. Elbow flexion after upper brachial plexus injury may be restored by a nerve transfer from the ulnar nerve to the biceps motor branch with an optional nerve transfer from the median nerve to the brachialis motor branch (single and double fascicular nerve transfer). This meta-analysis assesses the effectiveness of both (...) double nerve transfer patients reached grade 4 or greater if preoperative delay was 6 months or less (84 of 101 versus 49 of 51; p = 0.035).Additional reinnervation of the brachialis muscle did not result in significantly more patients reaching Medical Research Council grade 3 or higher for elbow flexion. Double fascicular nerve transfer may result in more patients reaching grade 4 or higher in patients with a preoperative delay less than 6 months. The median nerve may be preserved or used

2019 Plastic and reconstructive surgery

5. Reappraisal of Clinical Deficits Following High Median Nerve Injuries. (PubMed)

Reappraisal of Clinical Deficits Following High Median Nerve Injuries. To describe clinically apparent motor and sensory deficits in a cohort of 11 patients with isolated injury of the median nerve above the elbow and compare them against similar cases reported in the literature.Eleven patients of mean age 30 years (SD ± 14 years; 6 males, 5 females) were examined a mean of 21 weeks (SD ± 16 weeks) after an isolated high median nerve injury. Pronation, wrist flexion, and finger flexion range (...) of the index and middle fingers and the distal phalanx of the thumb.Noteworthy discrepancies were identified between the clinical motor and sensory deficits described in the literature and those observed in our patients.In most patients with a high median nerve injury, only thumb and index flexion and palmar sensation warrant surgical reconstruction. Decreased grasp and pinch strength was a major finding that should also be addressed by surgery.Prognostic IV.Copyright © 2016 American Society for Surgery

2016 Journal of Hand Surgery - American

6. Pseudoaneurysm of brachial artery: A rare cause of median nerve compression (PubMed)

Pseudoaneurysm of brachial artery: A rare cause of median nerve compression The authors present an unusual clinical case of high median nerve compression caused by an iatrogenic pseudoaneurysm of the brachial artery after an angiography with a follow up of 9 months.A 73-year-old male was seen with progressive numbness, loss of opponency and diminution of strength of finger flexion in the left hand after an angiography with direct puncture of the left humeral artery. Physical examination (...) thrombosed causing severe compression of the median nerve. Microsurgical neurolysis of the median nerve was performed and the pseudoaneurysm was removed.At 9 months of follow-up the patient had total recovery of flexion of the thumb and forefinger and recovery of opposition with slight hypoesthesia on the volar surface of the radial fingers of the hand.This case represents a rare form of high median nerve compression after angiography. The increased use of endovascular procedures may cause a higher

Full Text available with Trip Pro

2018 Trauma Case Reports

7. Acute Combined Median and Radial Nerve Palsies after Distal Humeral Shaft Fracture (PubMed)

Acute Combined Median and Radial Nerve Palsies after Distal Humeral Shaft Fracture We report a case of a 29-year-old man who presented with a distal humeral shaft fracture sustained by blunt trauma. Physical examination and nerve conduction study were consistent with injury to the median and radial nerves proximal to the elbow. The patient underwent open reduction and internal fixation of the humeral shaft fracture with neurolysis of the median and radial nerves. Repeat electromyography at 6 (...) months postoperatively showed recruitment of motor units in all muscles sampled, in keeping with clinical improvement. At 16 months follow-up, the patient was full strength in all muscle groups, was back to all activities with no restrictions, and was discharged from follow-up. Our case describes clinical improvement after surgical intervention in a patient with combined median and radial nerve palsies following distal humeral shaft fracture. Level of evidence: V.

Full Text available with Trip Pro

2018 Archives of bone and joint surgery

8. Locating the ulnar nerve during elbow arthroscopy using palpation is only accurate proximal to the medial epicondyle. (PubMed)

Locating the ulnar nerve during elbow arthroscopy using palpation is only accurate proximal to the medial epicondyle. Knowledge of ulnar nerve position is of utmost importance to avoid iatrogenic injury in elbow arthroscopy. The aim of this study was to determine how accurate surgeons are in locating the ulnar nerve after fluid extravasation has already occurred, and basing their localization solely on palpation of anatomical landmarks.Seven cadaveric elbows were used and seven experienced (...) using a standard medial elbow approach and the distances between the pins and ulnar nerve were measured.The median distance between the ulnar nerve and the proximal pins was 0 mm (range 0-0 mm), and between the ulnar nerve and the distal pins was 2 mm (range 0-10 mm), showing a statistically significant difference (p = 0.009). All seven proximally placed pins (100%) transfixed the ulnar nerve versus two out of seven distally placed pins (29%) (p = 0.021).In a setting simulating an already initiated

Full Text available with Trip Pro

2018 Knee Surgery, Sports Traumatology, Arthroscopy

9. Elbow Positioning and Joint Insufflation Substantially Influence Median and Radial Nerve Locations. (PubMed)

Elbow Positioning and Joint Insufflation Substantially Influence Median and Radial Nerve Locations. The median and radial nerves are at risk of iatrogenic injury when performing arthroscopic arthrolysis with anterior capsulectomy. Although prior anatomic studies have identified the position of these nerves, little is known about how elbow positioning and joint insufflation might influence nerve locations.In a cadaver model, we sought to determine whether (1) the locations of the median (...) and radial nerves change with variation of elbow positioning; and whether (2) flexion and joint insufflation increase the distance of the median and radial nerves to osseous landmarks after correcting for differences in size of the cadaveric specimens.The median and radial nerves were marked with a radiopaque thread in 11 fresh-frozen elbow specimens. Three-dimensional radiographic scans were performed in extension, in 90° flexion, and after joint insufflations in neutral rotation, pronation

Full Text available with Trip Pro

2015 Clinical Orthopaedics and Related Research

10. Early Functional Recovery of Elbow Flexion and Supination Following Median and/or Ulnar Nerve Fascicle Transfer in Upper Neonatal Brachial Plexus Palsy. (PubMed)

Early Functional Recovery of Elbow Flexion and Supination Following Median and/or Ulnar Nerve Fascicle Transfer in Upper Neonatal Brachial Plexus Palsy. Nerve transfers using ulnar and/or median nerve fascicles to restore elbow flexion have been widely used following traumatic brachial plexus injury, but their utility following neonatal brachial plexus palsy remains unclear. The present multicenter study tested the hypothesis that these transfers can restore elbow flexion and supination (...) in infants with neonatal brachial plexus palsy.We retrospectively reviewed the cases of thirty-one patients at three institutions who had undergone ulnar and/or median nerve fascicle transfer to the biceps and/or brachialis branches of the musculocutaneous nerve after neonatal brachial plexus palsy. The primary outcome measures were postoperative elbow flexion and supination as measured with the Active Movement Scale (AMS). Patients were followed for at least eighteen months postoperatively unless

2014 The Journal of Bone and Joint Surgery. American Volume

11. Median Nerve Injury at the Elbow

Median Nerve Injury at the Elbow Median Nerve Injury at the Elbow Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Median Nerve Injury (...) at the Elbow Median Nerve Injury at the Elbow Aka: Median Nerve Injury at the Elbow , Pronator Syndrome From Related Chapters II. Pathophysiology compression of the via the pronator teres muscle III. Differential Diagnosis IV. Symptoms discomfort and ache Provoked with elbow extension s in the thumb, index and middle finger V. Signs Sensory loss over thenar eminence (not present in ) absent (contrast with ) Phalen maneuver (contrast with ) Normal sensation Sensation in fingers may also be normal VI

2015 FP Notebook

12. Tiny Tip: Is this a ‘CASE’ of an elbow fracture?

examination is vital to rule out potential injuries to the brachial artery, median, radial and/or ulnar nerves. Chandra Avery MD Dr. Avery is a Staff Physician at IWK Health Centre, Halifax, Nova Scotia. (Visited 702 times, 1 visits today) Graham Wilson Graham Wilson is a medical student at Dalhousie University. Latest posts by Graham Wilson ( ) - June 23, 2017 Follow CRACKCast Schedule Mondays: CRACKCast Tuesdays: Medical Concepts Wednesdays: Opinion Thursdays: Throwbacks Fridays: National Interest (...) Tiny Tip: Is this a ‘CASE’ of an elbow fracture? Tiny Tip: Is this a ‘CASE’ of an elbow fracture? - CanadiEM Tiny Tip: Is this a ‘CASE’ of an elbow fracture? In , by Graham Wilson June 23, 2017 An elbow fracture is a common pediatric injury in emergency medicine. These fractures present challenges in diagnosis due to the maturing skeletal anatomy and the subtlety of these injuries. 1 Plain radiographs are adequate to detect elbow fractures in most cases and a systematic approach can help

2017 CandiEM

13. Subcutaneous Injury to the Median Nerve at the Elbow (PubMed)

Subcutaneous Injury to the Median Nerve at the Elbow 19978265 2010 06 24 2010 06 24 0035-9157 7 Sect Study Dis Child 1914 Proceedings of the Royal Society of Medicine Proc. R. Soc. Med. Subcutaneous Injury to the Median Nerve at the Elbow. 111 Boyd S S eng Journal Article England Proc R Soc Med 7505890 0035-9157 2009 12 9 6 0 1914 1 1 0 0 1914 1 1 0 1 ppublish 19978265 PMC2003248

Full Text available with Trip Pro

1914 Proceedings of the Royal Society of Medicine

14. Evaluation of nerve transfer options for treating total brachial plexus avulsion injury: a retrospective study of 73 participants (PubMed)

reconstructed by intercostal nerve transfer (31 cases). Overall, the recommended surgical treatment for total brachial plexus-avulsion injury is phrenic nerve transfer for elbow flexion, accessory nerve + intercostal nerve transfer for shoulder function, intercostal nerves transfer for elbow extension, entire contralateral C7 transfer for median nerve function, and intercostal nerve transfer for finger extension. The trial was registered at ClinicalTrials.gov (identifier: NCT03166033). (...) brachial plexus avulsion injury were followed up for an average of 7.3 years. Our analysis demonstrated no significant difference in elbow-flexion recovery between phrenic nerve-transfer (25 cases), phrenic nerve-graft (19 cases), intercostal nerve (17 cases), or contralateral C7-transfer (12 cases) groups. Restoration of shoulder function was attempted through anterior accessory nerve (27 cases), posterior accessory nerve (10 cases), intercostal nerve (5 cases), or accessory + intercostal nerve

Full Text available with Trip Pro

2018 Neural Regeneration Research

15. CRACKCast E052 – Orthopedics – Humerus and Elbow

parallel to the median nerve until half-way down the humerus, and then it moves medially It passes BEHIND the medial epicondyle which puts it at risk of injury. Elbow Bursae: Olecranon bursa (elbow skin gliding) Radiohumeral bursa (supination/pronation) Bicep tendon cushioning bursa – protects the radius during elbow flexion Clinical features: History: standard stuff Physical: Compare bilaterally In kids: Note the position it is held in: Extension type supra-condylar #’s are held at the side with an S (...) injury – hyperextension with a valgus force levers the ulna from the trochlea The distal humerus gets lodged on the coronoid process Arm held in 45 degrees of flexion Assess for brachial artery and median nerve injury From initial injury, reduction, or swelling Radiographs are important pre-reduction to investigate for possible fractures Reduction: Facilitated by procedural sedation, intra-articular anesthesia or regional block Assistant provides counter traction Elbow at 30 degrees of flexion

2016 CandiEM

16. Repair of a median nerve transection injury using multiple nerve transfers, with long-term functional recovery. (PubMed)

Repair of a median nerve transection injury using multiple nerve transfers, with long-term functional recovery. Complete loss of median nerve motor function is a rare but devastating injury. Loss of median motor hand function and upper-extremity pronation can significantly impact a patient's ability to perform many activities of daily living independently. The authors report the long-term follow-up in a case of median nerve motor fiber transection that occurred during an arthroscopic elbow (...) procedure, which was then treated with multiple nerve transfers. Motor reconstruction used the nerves to the supinator and extensor carpi radialis brevis to transfer to the anterior interosseous nerve and pronator. Sensory sensation was restored using the lateral antebrachial cutaneous (LABC) nerve to transfer to a portion of the sensory component of the median nerve, and a second cable of LABC nerve as a direct median nerve sensory graft. The patient ultimately recovered near normal motor function

Full Text available with Trip Pro

2012 Journal of Neurosurgery

17. Nociceptive and Histomorphometric Evaluation of Neural Mobilization in Experimental Injury of the Median Nerve (PubMed)

Nociceptive and Histomorphometric Evaluation of Neural Mobilization in Experimental Injury of the Median Nerve The carpal tunnel syndrome is the most common peripheral neuropathy in the upper limb, but its treatment with conservative therapies such as neural mobilization (NM) is still controversial. The aim of this study was to investigate the efficacy of the NM as treatment in a model of median nerve compression. 18 Wistar rats were subjected to compression of the median nerve in the right (...) elbow proximal region. Were randomly divided into G1 (untreated), G2 (NM for 1 minute), and G3 (NM for 3 minutes). For treatment, the animals were anesthetized and the right forelimb received mobilization adapted to humans, on alternated days, from the 3rd to the 13th day postoperatively (PO), totaling six days of therapy. Nociception was assessed by withdrawal threshold, and after euthanasia histomorphometric analysis of the median nerve was performed. The nociceptive evaluation showed in G2 and G3

Full Text available with Trip Pro

2013 The Scientific World Journal

18. Determining the effective timing of an open arthrolysis for post-traumatic elbow stiffness: a retrospective cohort study. (PubMed)

motion and function) and the rate of complications among patients who had undergone early, median and late release procedures to establish an optimal time interval following the injury, after which, an effective open arthrolysis can be performed.In this retrospective cohort study, we included total 133 patients, who had undergone open arthrolysis for post-traumatic elbow stiffness. The subjects were divided into 3 groups, with 31 patients in the early release group (arthrolysis performed at 6-10 (...)  months after injury), 78 patients in the median release group (at 11-20 months), and 24 patients in the late release group (at > 20 months). The release procedure in all patients was performed by the same surgeon, using the same technique. The general data, functional performance, and complications, if any, were retrospectively documented for all patients and statistically analysed.The demographic data and disease characteristics of all patients were comparable at baseline. Postoperatively

Full Text available with Trip Pro

2019 BMC Musculoskeletal Disorders

19. Editorial Commentary: Safety in Anteromedial Elbow Portal Placement? Go North! (PubMed)

Editorial Commentary: Safety in Anteromedial Elbow Portal Placement? Go North! Since iatrogenic injury to surrounding structures is more likely in the elbow than in the other major joints, many studies have examined the relationship of elbow arthroscopy portals to the at-risk anatomy. In accessing the anterior compartment of the elbow from the medial side, the brachial artery and median, ulnar, and medial antebrachial cutaneous nerves are at risk. Factors that improve the safety (...) of this approach include the use of a proximal versus distal anteromedial portal, a distended versus and nondistended joint, and a flexed versus extended elbow position, all of which result in an approximate margin of safety of 2 cm from the deep at-risk structures.Copyright © 2019 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.

2019 Arthroscopy

20. Safety of Anteromedial Portals in Elbow Arthroscopy: A Systematic Review of Cadaveric Studies. (PubMed)

nerve in distal portals. Elbow flexion to 90° increased distances of all neurovascular structures to portal sites.The results show that the proximal anteromedial portal puts fewer structures at risk compared with the distal portal. Elbows in 90° flexion with joint distension carry a lower risk for neurovascular injury during portal placement. These findings suggest the proximal anteromedial portal to be the safer technique in anteromedial arthroscopy of the elbow.Discrepancies in placement (...) as original, cadaveric investigations of anteromedial portal proximity to neurovascular structures. The difference in distance between proximal and distal portals was <1 mm for the brachial artery and <1.5 mm for the medial antebrachial cutaneous nerve, whereas the ulnar nerve was 4.17 mm further from the distal portal and the median nerve was 5.07 mm further from the proximal portal. Joint distension increased the distances of neurovascular structures to portal sites, with the exception of the ulnar

2019 Arthroscopy

To help you find the content you need quickly, you can filter your results via the categories on the right-hand side >>>>