Spiral Groove Entrapment Neuropathy Due to Overuse of The Triceps: A Case Report

Year 2023, Volume: 45 Issue: 2, 306 - 310, 15.03.2023

Onur Armağan , Burcu Ortanca

https://doi.org/10.20515/otd.1225213

Abstract

Spiral groove entrapment neuropathy is a compression neuropathy that can occur for various reasons due to the superficial course of the radial nerve at the level of the spiral groove. Since repetitive movements play a role in the development mechanism of compression neuropathy, compelling and repetitive movements of the triceps muscle may predispose to spiral groove entrapment neuropathy. In this case, a 61-year-old male patient who developed a low hand after long-term use of a lawnmower is presented. The patient was diagnosed with spiral groove entrapment neuropathy as a result of the physical examination findings performed in our clinic and the requested electroneurophysiological test, magnetic resonance imaging. The patient's motor and sensory deficit completely recovered after 6 weeks as a result of physical therapy and acupuncture treatment.

Keywords

radial nerve, Entrapment neuropathy, Radial nerve neuropathy, Tuzak nöropatisi, Radial sinir nöropatisi

Triceps Aşırı Kullanımına Bağlı Gelişen Spiral Oluk Tuzak Nöropatisi: Bir Olgu Sunumu

Abstract

Spiral oluk tuzak nöropatisi, radial sinirin spiral oluk seviyesinde yüzeyel seyretmesinden dolayı çeşitli nedenlerle meydana gelebilen bir kompresyon nöropatisidir. Kompresyon nöropatisi gelişim mekanizmasında tekrarlayıcı hareketler rol oynadığı için triceps kasının zorlayıcı ve tekrarlayıcı hareketleri spiral oluk tuzak nöropatisine zemin hazırlayabilmektedir. Bu olguda uzun süreli çim biçme makinası kullanımı sonrasında düşük el gelişmiş 61 yaşında bir erkek hasta sunulmaktadır. Hasta kliniğimizde yapılan fizik muayene bulguları ve istenen elektronörofizyolojik test, manyetik rezonans görüntüleme sonucu spiral oluk tuzak nöropatisi tanısı almıştır. Hastanın motor ve duyu defisiti, verilen fizik tedavi ve akupunktur tedavisi sonucunda 6 hafta sonra tamamen iyileşti.

Keywords

radial sinir, Tuzak nöropatisi, Radial sinir nöropatisi

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