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Journal of Hand Surgery (British and European Volume)
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Articles

Susceptibility of the Superficial Sensory Branch of the Radial Nerve to Form Painful Neuromas

A. LEE DELLON
SUSAN E. MACKINNON

From the Curtis Hand Center and Johns Hopkins Hospital, Baltimore and the Division of Plastic Surgery, University of Toronto

The superficial sensory branch of the radial nerve appears prone to develop painful neuromas out of proportion to its likelihood for injury. Based on cadaver dissections and intraoperative observations, an anatomical mechanism for this "predisposition" is suggested. Exit of this nerve beneath dense fascia and the tendons of brachioradialis and extensor carpi radialis longus provide a proximal tethering against which tension develops as the distal fixation point (neuroma) is pulled through the long excursion of wrist are of motion. This long excursion and proximal tethering are not present anatomically for the dorsal cutaneous branch of the ulnar nerve nor the palmar cutaneous branch of the median nerve.

Journal of Hand Surgery (British and European Volume), Vol. 9, No. 1, 42-45 (1984)
DOI: 10.1016/0266-7681(84)90012-3
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Home page
 Arch NeurolHome page
A. L. Dellon and S. E. Mackinnon
Radial Sensory Nerve Entrapment
Arch Neurol, August 1, 1986; 43(8): 833 - 835.
[Abstract] [PDF]