Compression branche sensitive du nerf radial au poignet cheiralgie paresthesique. Cheiralgia, a term used for the fi rst time in describing wartenberg syndrome, is a neuropathy of the upper limb, underdiagnosed today, caused by compression or weft on the superfi cial branches of the radial nerve2,3. Isolated superficial radial neuropathy also called the wartenberg syndrome or cheiralgia paresthetica is a sensory mononeuropathy and a rare clinical condition. A sensitive polyneuropathy without symptoms of motor loss, involving the superficial branch of the radial nerve, manifested by paraesthesia, dysaesthesia, or hyperaesthesia of the ulnar surface of the thumb. Nerve entrapment syndromes of the elbow, forearm, and. Wartenberg syndrome is an occupational repetitive strain injury. Wartenberg syndrome also known as cheiralgia paresthetica is due to compression of the superficial branch of the radial nerve in the distal forearm. Wartenberg symptom definition of wartenberg symptom by. Nerve entrapment syndromes usually have typical clinical presentations and findings on physical examination.
Symptoms include numbness, tingling, and weakness of the posterior aspect of the thumb. The ulnar nerve begins at the side of the neck, travels behind the elbow and ends in the hand at the little and ring fingers. Waardenburg syndrome type 2 ws2 is a type of waardenburg syndrome characterized by varying degrees of deafness and pigmentation coloring abnormalities of the eyes, hair andor skin. Waardenburg syndrome type 2 genetic and rare diseases. Waardenburg syndrome ws is a group of genetic conditions characterized by varying degrees of hearing loss and differences in the coloring pigmentation of the eyes, hair, and skin. Wartenberg s syndrome is described as the entrapment of the superficial branch of the radial nerve1 with only sensory manifestations and no motor deficits. Since its original description in 1958 by wartenberg et al, 1 very few cases have been reported 2 12 supporting it being a rare disorder. Wartenberg s syndrome is a rare compression neuropathy of the sensory branch of the radial nerve and is characterized by pain and paresthesia in the radial dorsal forearm radiating to the back of the thumb and second and third fingers.
The etiology of the isolated superficial radial nerve neuropathy is often associated with. Entrapment of the superficial branch of the radial nerve. Signs and symptoms can vary both within and between families. Some neuropathies, like carpal tunnel, are quite common. The superficial branch of the radial nerve is highly vulnerable to trauma, irritation and compression due to its anatomical location. Pdf entrapment of the sensory branch of the radial nerve. Wartenbergs syndrome is a rare compression neuropathy of the sensory branch of the radial nerve and is characterized by pain and paresthesia in the radial dorsal forearm radiating to the back of the thumb and second and third fingers.
Common features include congenital sensorineural deafness. Attraversa il cavo ascellare portandosi nella regione posteriore del braccio dove emette rami motori per. Wartenberg neuritis is a pure sensory mononeuropathy characterized by sudden sensory loss and numbness of cutaneous nerves induced by stretch or trauma. Imaging can be used to evaluate a structural cause of the entrapment, such as a mass or enlarged muscle or to show secondary findings that confirm the diagnosis, such as nerve swelling or muscle edema or atrophy.
The associated movement between the jaw and the upper eyelid described first by the london ophthalmologist marcus gunn in 1883 evoked great interest among neurologists and ophthalmologists. In all patients the diagnosis was made on clinical grounds. The topic wartenberg syndrome you are seeking is a synonym, or alternative name, or is closely related to the medical condition radial nerve dysfunction quick summary. At the wrist, the ulnar nerve and artery run through the tunnel known as. Les syndromes canalaires rares du membre superieur orbi. Il nervo radiale prende origine dalle radici nervose c5c8t1. Eleven different waardenburg syndrome types have been described in the literature. Patients with the diagnosis of wartenberg syndrome complain of pain over the distal radial forearm associated with paresthesias over the dorsal radial hand. The case was presented because of disappearing his preoperative complaints after the operation with respect to wartenbergs syndrome. In this condition,the patient reports pain over the distal radial forearm associated with paresthesias over the dorsal radial hand. There are multiple compression neuropathies of the upper extremity.
In group 1, conservative treatment of wartenbergs syndrome was used in 16 patients associated with surgical release of the first extensor. Compression can be idiopathic or traumatic due to direct compression, such as by handcuffs or tight watchbands, or due to distal radius fracture or. Lesions of the radial nerve at the level of the wrist are named wartenbergs syndrome. Although most people with waardenburg syndrome have normal hearing, moderate to profound hearing loss can occur in one or both ears. The superficial branch of the radial nerve has 3 or 4 terminal branches and is a purely sensory nerve as indicated by the shaded area. The etiology of the isolated superficial radial nerve neuropathy is often. It is caused when nerves become trapped in the wrist due to a lack of space which has been caused by inflammation and or scar tissue which has built up from repetitive trauma. The full text of this article is available in pdf format. Cheiralgia paresthetica wartenbergs syndrome treatment.
They frequently report symptom magnification with wrist movement or. Ws2 differs from type 1 and some other types of ws by the absence of dystopia canthorum lateral displacement of the inner canthi of the eyes. Sensorineural hearing loss occurs in the majority of. We have treated 50 patients 52 cases of entrapment of the sensory branch of the radial nerve in the forearm wartenberg syndrome between january 1988 and july 1992. Waardenburg syndrome is a group of genetic conditions that can cause hearing loss and changes in coloring pigmentation of the hair, skin, and eyes. Wartenberg syndrome, also called cheiralgia paresthetica, is compression of the superficial branch of the radial nerve, typically as the nerve assumes a superficial course in the distal forearm. Wartenberg syndrome related to the use of splint during carpal. Posterior interosseous nerve syndrome statpearls ncbi.
People with this condition often have very pale blue. Wartenbergs syndrome is a specific mononeuropathy, caused by entrapment of the superficial branch of the radial nerve. Wartenberg syndrome claim compensation wartenberg syndrome. Isolated superficial radial neuropathy also called the wartenberg syndrome or cheiralgia paresthetica is a sensory mononeuropathy and a rare clinical. Educational video describing entrapment of the superficial radial nerve of the forearm. Intraneural lipoma of the radial nerve presenting as. Cheiralgia paresthetica wartenbergs syndrome treatment numbness or or tingling on the back of the wrist and hand can be a result of compression of the radial nerve between the tendons of the extensor carpi radialis longus and brachioradialis muscles. It can be secondary to tight watch band or handcuffs, compression from distal radius fracture or idiopathic. There have been many publications on this subject, even in recent years. Wartenberg syndrome, which is entrapment of the superficial ie, sensory branch of the radial nerve srn, was first described by dr. Waardenburg syndrome is a term used to describe a collection of rare genetic conditions characterised by at least some degree of congenital hearing loss and pigmentation deficiencies, which can include bright blue eyes or one blue eye and one brown eye, a white forelock or patches of light skin. The indications for each type of treatment are discussed. Lateral antebrachial cutaneous nerve lacn neuritis.
Sometimes associated with cutaneous discoloration in the area of sensory. Hand surgery center, orthopedics department, italy. Operation was followed by 74% excellent and good results. The posterior interosseous nerve is a branch of the radial nerve, which. A positive tinelas sign over the course of the nerve is the most common physical examination finding. Intraneural lipomas and fibrolipomas arising from the supporting tissues of this peripheral nerve can cause compression of the adjacent nerve leading to symptoms of neuritis of the radial nerve or wartenberg syndrome.