Boussakri H, Meyer Zu Reckendorf G
Institut montpelliérain de la main, clinique Clémentville, 34000 Montpellier, France; Service de chirurgie ostéo-articulaire (B4), CHU Hassan II, 30000 Fès, Morocco.
Institut montpelliérain de la main, clinique Clémentville, 34000 Montpellier, France.
Chir Main. 2015 Jun;34(3):141-4. doi: 10.1016/j.main.2015.03.001. Epub 2015 Apr 27.
Isolated neuropathy of the superficial branch of the radial nerve (SBRN) is a rarely recognized pathology. It was initially described by Wartenberg in 1932. Various causes have been published. We report a case of an unusual injury of the SBRN at the wrist, never been previously reported in the literature. A 40-year-old woman presented with pain and paresthesia over the area of the lateral aspect of the wrist, thumb and first web two months after a blunt trauma of the left forearm. After failure of conservative treatment, surgical exploration found a neuroma of one branch of the SBRN. No distal nerve stump was found. Neuroma resection was performed and the nerve was transposed and embedded into the flexor pollicis longus muscle. With a six months follow-up, the result was satisfactory.
桡神经浅支（SBRN）孤立性神经病变是一种鲜为人知的病理情况。它最初由瓦尔滕贝格于1932年描述。已公布了多种病因。我们报告一例腕部SBRN的罕见损伤病例，此前文献中从未有过报道。一名40岁女性在左前臂钝性创伤两个月后，出现腕部外侧、拇指及第一掌骨间隙区域疼痛和感觉异常。保守治疗失败后，手术探查发现SBRN一个分支存在神经瘤。未发现远端神经残端。进行了神经瘤切除术，并将神经移位并埋入拇长屈肌。经过六个月的随访，结果令人满意。
