Nervenkompressionssyndrome der oberen Extremität

Zusammenfassung

Nervenkompressionssyndrome werden oft als Differenzialdiagnose von therapierefraktären orthopädischen Krankheitsbildern nicht bedacht und weisen so häufig lange Leidensverläufe auf. Neben der klinischen Diagnostik durch eine gezielte Anamnese und körperliche Untersuchung sind die zusätzliche spezifische Bildgebung sowie elektrophysiologische Untersuchung oftmals zielführend. Therapieansätze sind vielfältig und reichen von Physiotherapie und lokalen Infiltrationen bis hin zur chirurgischen Nervendekompression. Ziel dieser Arbeit ist es, Nervenkompressionssyndrome der oberen Extremität anhand ihrer anatomischen Prädilektionsstellen aufzuzeigen, die entsprechende Diagnostik darzustellen und Therapiemöglichkeiten vorzustellen.

Summary

Peripheral nerve entrapments are important differential diagnosis of orthopedic diseases, which are often ignored, resulting in prolonged suffering of the patient. Hereby a precise diagnosis can be achieved via an explicit anamnesis as well as specific clinical examination combined with electrophysiological testing and imaging. Hereby various therapeutical approaches from physiotherapy, local infiltration up to surgical decompression can be considered. Aim of this work is to depict peripheral nerve entrapments due to anatomical constrictions and demonstrate their diagnosis and therapy.

Schlüsselwörter

Nervenkompressionssyndrom - Nerv - Schmerz - Differenzialdiagnose - obere Extremität

Keywords

Peripheral nerve entrapment - nerve - pain - upper extremity

Publication History

Article published online:
02 November 2020

• Literatur

• 1 Bateman JE. Neurologic painful conditions affecting the shoulder. Clinical orthopaedics and related research 1983; 173: 44-54
• 2 Pham K, Gupta R. Understanding the mechanisms of entrapment neuropathies. Review article. Neurosurgical focus 2009; 26 (02) E7
• 3 Budzik JF, Wavreille G, Pansini V. et al Entrapment neuropathies of the shoulder. Magnetic resonance imaging clinics of North America 2012; 20 (02) 373-391, xii
• 4 Shapiro BE, Preston DC. Entrapment and compressive neuropathies. The Medical clinics of North America 2009; 93 (02) 285-315, vii
• 5 Burbank KM, Stevenson JH, Czarnecki GR, Dorfman J. Chronic shoulder pain: part I. Evaluation and diagnosis. American family physician 2008; 77 (04) 453-460
• 6 Kopell HP, Thompson WA. Pain and the frozen shoulder. Surg Gynecol Obstet 1959; 109 (01) 92-96
• 7 Andrea M. Trescot. Peripheral Nerve Entrapments: Clinical Diagnosis and Management. Basel: Springer International Publishing; 2016
• 8 Brown SA, Doolittle DA, Bohanon CJ. et al Quadrilateral space syndrome: the Mayo Clinic experience with a new classification system and case series. Mayo Clinic proceedings 2015; 90 (03) 382-394
• 9 Francel TJ, Dellon AL, Campbell JN. Quadrilateral space syndrome: diagnosis and operative decompression technique. Plastic and reconstructive surgery 1991; 87 (05) 911-916
• 10 McClelland D, Paxinos A. The anatomy of the quadrilateral space with reference to quadrilateral space syndrome. Journal of shoulder and elbow surgery 2008; 17 (01) 162-164
• 11 Apaydin N, Tubbs RS, Loukas M, Duparc F. Review of the surgical anatomy of the axillary nerve and the anatomic basis of its iatrogenic and traumatic injury. Surgical and radiologic anatomy – SRA 2010; 32 (03) 193-201
• 12 Perlmutter GS. Axillary nerve injury. Clinical orthopaedics and related research 1999; 368: 28-36
• 13 Debouck C, Rooze M. The arcade of Frohse: an anatomic study. Surgical and radiologic anatomy – SRA 1995; 17 (03) 245-248
• 14 Hong GX, Steffens K, Koob E. [The supinator syndrome. An anatomic and clinical study]. Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Handchirurgie – Organ der Deutschsprachigen Arbeitsgemeinschaft fur Mikrochirurgie der Peripheren Nerven und Gefasse 1989; 21 (03) 147-152
• 15 Spinner M. The arcade of Frohse and its relationship to posterior interosseous nerve paralysis. The Journal of bone and joint surgery British volume 1968; 50 (04) 809-812
• 16 Assmus H, Antoniadis G. Nervenkompressionssyndrome. Berlin, Heidelberg: Springer; 2014
• 17 Tosti R, Jennings J, Sewards JM. Lateral epicondylitis of the elbow. The American journal of medicine 2013; 126 (04) 357 e1-e6
• 18 Abrams RA, Brown RA, Botte MJ. The superficial branch of the radial nerve: an anatomic study with surgical implications. The Journal of hand surgery 1992; 17 (06) 1037-1041
• 19 Dydyk AM, Negrete G, Cascella M. Median Nerve Injury. StatPearls. Treasure Island (FL): StatPearls Publishing LLC; 2020
• 20 Rosenbaum RB, Ochoa JL. Carpal Tunnel Syndrome and Other Disorders of the Median Nerve. Oxford: Butterworth-Heinemann; 1993
• 21 Internullo G, Marcuzzi A, Busa R. et al Kiloh-Nevin syndrome: a clinical case of compression of the anterior interosseous nerve. La Chirurgia degli organi di movimento 1995; 80 (03) 345-348
• 22 Kiloh LG, Nevin S. Isolated neuritis of the anterior interosseous nerve. British medical journal 1952; 1 4763 850-851
• 23 Rask MR. Anterior interosseous nerve entrapment: (Kiloh-Nevin syndrome) report of seven cases. Clinical orthopaedics and related research 1979; 142: 176-181
• 24 Van Der Wurff P, Hagmeyer RH, Rijnders W. Case Study: Isolated Anterior lnterosseous Nerve Paralysis: The – Kiloh-Nevin Syndrome. The Journal of orthopaedic and sports physical therapy 1984; 6 (03) 178-180
• 25 Parsonage MJ, Turner JW. Neuralgic amyotrophy; the shoulder-girdle syndrome. Lancet (London, England) 1948; 1 6513 973-978
• 26 Robinson LR. Electrodiagnosis of carpal tunnel syndrome. Physical medicine and rehabilitation clinics of North America 2007; 18 (04) 733-746, vi
• 27 MacDermid JC, Wessel J. Clinical diagnosis of carpal tunnel syndrome: a systematic review. Journal of hand therapy – official journal of the American Society of Hand Therapists 2004; 17 (02) 309-319
• 28 Massy-Westropp N, Grimmer K, Bain G. A systematic review of the clinical diagnostic tests for carpal tunnel syndrome. The Journal of hand surgery 2000; 25 (01) 120-127
• 29 Mondelli M, Passero S, Giannini F. Provocative tests in different stages of carpal tunnel syndrome. Clinical neurology and neurosurgery 2001; 103 (03) 178-183
• 30 Chen IJ, Chang KV, Lou YM. et al Can ultrasound imaging be used for the diagnosis of carpal tunnel syndrome in diabetic patients? A systemic review and network meta-analysis. Journal of neurology 2020; 267 (07) 1887-1895
• 31 Elnady B, Rageh EM, Ekhouly T. et al Diagnostic potential of ultrasound in carpal tunnel syndrome with different etiologies: correlation of sonographic median nerve measures with electrodiagnostic severity. BMC musculoskeletal disorders 2019; 20 (01) 634
• 32 Salman Roghani R, Hashemi SE, Holisaz MT. et al The diagnostic accuracy of median nerve ultrasonography in elderly patients with carpal tunnel syndrome: sensitivity and specificity assessment. Clinical interventions in aging 2018; 13: 1953-1962
• 33 Loukas M, Pennell C, Tubbs RS, Cohen-Gadol AA. Sir John Struthers 1823–1899 and his ligament and arcade. Neurosurgery 2010; 66 (06) 1170-1173 discussion –3
• 34 Bartels RH, Termeer EH, van der Wilt GJ. et al Simple decompression or anterior subcutaneous transposition for ulnar neuropathy at the elbow: a cost-minimization analysis –Part 2. Neurosurgery 2005; 56 (03) 531-536 discussion –6
• 35 Bartels RH, Verhagen WI, van der Wilt GJ. et al Prospective randomized controlled study comparing simple decompression versus anterior subcutaneous transposition for idiopathic neuropathy of the ulnar nerve at the elbow: Part 1. Neurosurgery 2005; 56 (03) 522-530 discussion –30