Pronator teres syndrome is characterized by compression of the median nerve, leading to dysfunction of the affected limb. Median nerve entrapment causes paresthesia, changes in sensitivity, and loss of strength in the fingers, in addition to causing loss of hand dexterity. The diagnosis of pronator teres syndrome is complicated, due to its similarity with other neuropathies of the median nerve. So, it is important to emphasize the need for a physical examination together with imaging tests, especially ultrasound, for its correct diagnosis. We report the case of a 28-year-old woman who complained of tingling for ten years in the proximal third of the left forearm at rest that worsens on exertion and weakness if not moving. On physical examination, she has no limitation of movement but refers to a feeling of weakness and numbness in his forearm. Ultrasonography demonstrates compression of the median nerve between the ulnar and humeral heads of the pronator teres muscle, a finding confirmed by magnetic resonance imaging and electroneuromyography. The patient was treated with physiotherapy presenting improvement of symptoms after 45 days.
- Keywords
- Diagnosis, Median nerve, Ultrasonography,
- MeSH
- Adult MeSH
- Electromyography MeSH
- Muscle, Skeletal MeSH
- Humans MeSH
- Magnetic Resonance Imaging MeSH
- Median Neuropathy * diagnosis diagnostic imaging MeSH
- Forearm MeSH
- Syndrome MeSH
- Ultrasonography MeSH
- Nerve Compression Syndromes * diagnosis diagnostic imaging therapy MeSH
- Check Tag
- Adult MeSH
- Humans MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Case Reports MeSH
- MeSH
- Humans MeSH
- Scapula diagnostic imaging MeSH
- Magnetic Resonance Imaging MeSH
- Nerve Compression Syndromes * diagnostic imaging MeSH
- Check Tag
- Humans MeSH
- Publication type
- Letter MeSH
- Comment MeSH
- Research Support, Non-U.S. Gov't MeSH
Between February 1, 1982 and December 31, 1988 at the Neurosurgical Clinic of the Faculty Hospital and Policlinic in Kosice on account of justified suspicion of a relapse of discogenic compression of the lumbosacral spinal roots 102 patients were re-operated (38 women, 64 men) aged 18 to 65 years (mean 39.5 years). Of these three who were hypersensitive to iodine were reoperated at a time when the hospital did not yet possess a CT based on clinical symptoms. In 61 patients the indicated re-operation was supported by the conclusions of periradiculographic, in 21 of native CT and in 17 based on both mentioned examinations. Comparison of the surgical findings with the X-ray findings revealed that on periradiculography the conclusion was in complete agreement in 31 patients, in another 27 partial agreement (a total of 73.3% patients examined in this way), in those examined by CT there was complete agreement in 16 and partial agreement in 11 (i.e. 71.1% on this sub-group). Neither of the two examination methods was quite reliable for indication of re-pleration of intervertebral discs.
- MeSH
- Lumbar Vertebrae * diagnostic imaging MeSH
- Back Pain etiology MeSH
- Diagnosis, Differential MeSH
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Spinal Nerve Roots diagnostic imaging MeSH
- Adolescent MeSH
- Tomography, X-Ray Computed * MeSH
- Postoperative Complications MeSH
- Recurrence MeSH
- Aged MeSH
- Spinal Stenosis diagnostic imaging MeSH
- Nerve Compression Syndromes diagnostic imaging MeSH
- Intervertebral Disc Displacement diagnostic imaging surgery MeSH
- Check Tag
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Adolescent MeSH
- Male MeSH
- Aged MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- MeSH
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Lumbosacral Region MeSH
- Spinal Nerve Roots * MeSH
- Radiography MeSH
- Aged MeSH
- Nerve Compression Syndromes diagnosis diagnostic imaging MeSH
- Check Tag
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Male MeSH
- Aged MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
