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27.07.2020 | Compressive Neuropathies in the Upper Extremity (E Shin, Section Editor) | Ausgabe 6/2020

Current Reviews in Musculoskeletal Medicine 6/2020

Upper Extremity Compressive Neuropathies in the Pediatric and Adolescent Populations

Zeitschrift:
Current Reviews in Musculoskeletal Medicine > Ausgabe 6/2020
Autoren:
Casey M. Codd, Joshua M. Abzug
Wichtige Hinweise

Electronic supplementary material

The online version of this article (https://​doi.​org/​10.​1007/​s12178-020-09666-4) contains supplementary material, which is available to authorized users.
This article is part of the Topical Collection on Compressive Neuropathies in the Upper Extremity

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Abstract

Purpose of Review

Although somewhat rare, upper extremity compressive neuropathies can occur in the pediatric and adolescent populations due to various etiologies. Some of the most common conditions seen include thoracic outlet syndrome, supracondylar process syndrome, cubital tunnel syndrome with subluxation of the ulnar nerve, and carpal tunnel syndrome. This review will focus on these diagnoses and how to address them in the pediatric and adolescent populations.

Recent Findings

Due to the rarity of upper extremity compressive neuropathies in the pediatric and adolescent populations, substantial advancement in the literature does not routinely occur. However, recent literature has found a difference in the rate of various subtypes of thoracic outlet syndrome in children versus adults. Additionally, cubital tunnel syndrome associated with ulnar nerve subluxation/instability has recently been found to have better outcomes following surgical decompression of the ulnar nerve and transposition than those with stable ulnar nerves.

Summary

In summary, this review provides the most recent knowledge surrounding upper extremity compressive and entrapment neuropathies in the pediatric and adolescent populations.

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