Rare Variant of the Radial Artery Causing Compression of the Superficial Radial Nerve: A Case Report.

Q4 Medicine

JBJS case connector Pub Date : 2024-06-13 eCollection Date: 2024-04-01 DOI:10.2106/JBJS.CC.24.00118

Michael J Sayegh, Joshua M Keefer, Zhongyu Li

引用次数: 0

Abstract

Case: This case report describes a patient with paresthesia in the distribution of the superficial sensory branch of the radial nerve that was treated with surgery. Intraoperatively, there was a unique cause of internal compression by a rare superficial radial artery variant running adjacent to it. The nerve was mobilized from the artery with fascial releases. The patient had symptom resolution postoperatively.

Conclusion: To our knowledge, this cause of compression has not been described before and should be considered in a differential diagnosis. In addition, clinicians should be aware of this anatomical variant during venipunctures and surgical approaches.

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桡动脉罕见变异导致桡浅神经受压：病例报告。

病例：本病例报告描述了一名桡神经浅感觉支分布区麻痹的患者接受手术治疗的情况。术中发现，桡神经浅感觉支附近有一个罕见的桡动脉变异体，造成了独特的内压迫。通过筋膜松解术将神经从动脉中移出。术后患者症状缓解：据我们所知，这种压迫原因以前从未描述过，应在鉴别诊断中加以考虑。此外，临床医生在进行静脉穿刺和手术时应注意这种解剖变异。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

JBJS case connector Medicine-Medicine (all)

CiteScore

0.60

自引率

0.00%

发文量

319

期刊介绍： JBJS Case Connector helps improve patient care by providing the medical community with a journal that harnesses technology to provide information tools for discovery and reporting of unusual musculoskeletal problems, findings, treatment, and outcomes. Co-edited by Thomas W. Bauer, MD, PhD, and Ronald W. Lindsey, MD, JBJS Case Connector assists orthopaedic surgeons in the search for precedents, connections, and trends in their efforts to improve patient care. Using this unique journal, surgeons can find the commonalities between cases, benefit from the experience of their peers, and filter case information by many important variables in order to provide the best possible care for orthopaedic patients. This cross-referenced online journal includes thousands of orthopaedic case reports. It compiles symptoms, conditions, and demographic details to empower surgeons to find cases similar to theirs. Surgeons can mine the database to reveal emerging trends and identify patterns, distinguishing between truly rare cases and repeated, related single instances of a larger problem. The JBJS Case Connector Image Quiz feature provides interactive quizzes based on images from content published by JBJS and includes a discussion area for further exploration of ideas and concepts. The JBJS Image Quiz app for iPad and iPhone is available in the App Store. Contributions to JBJS Case Connector are welcomed from anywhere in the world and are considered on their merits. Articles must be written in English and should be submitted as outlined in the Instructions to Authors. All authors must abide by the JBJS ethics policies and all submissions to JBJS Case Connector are covered by the JBJS embargo policy.