SciELO - Scientific Electronic Library Online

 
vol.20 issue2Case report: exposed midfoot fracture due to traffic accident in HIV/AIDS patient author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

  • Have no cited articlesCited by SciELO

Related links

  • Have no similar articlesSimilars in SciELO

Share


Revista de la Facultad de Medicina Humana

Print version ISSN 1814-5469On-line version ISSN 2308-0531

Abstract

VELA, Paul Terán et al. Ulnar nerve injury after radial extracorporeal shock wave therapy identified with high-resolution ultrasonography: Case report. Rev. Fac. Med. Hum. [online]. 2020, vol.20, n.2, pp.328-333. ISSN 1814-5469.  http://dx.doi.org/10.25176/rfmh.v20i2.2912.

A 49-year old woman was evaluated for developing bilateral acute medial elbow pain, numbness, and tingling sensation in the fourth and fifth fingers after receiving radial extracorporeal shock wave therapy (rESWT) for bilateral medial epicondylitis. Neurologic examination revealed the presence of Tinel’s sign, paresthesia and impaired two-point discrimination testing over the ulnar side of the fourth and fifth fingers bilaterally. High-resolution ultrasonography demonstrated findings of nerve injury, such as hypoechogenicity and increased diameter of both ulnar nerves. After conservative treatment, the patient improved her condition demonstrating an apparently acute compressive nerve injury as a result of the therapy. ESWT is used as a promising alternative for the treatment of various musculoskeletal disorders; however, there is limited evidence regarding its side effects, in particular peripheral mononeuropathy. To the authors’ knowledge, this is the first report demonstrating structural damage of a nerve after rESWT with the use of high-resolution ultrasonography.

Keywords : Ulnar neuropathy; Extracorporeal shockwave therapy; Medial epicondylitis; Ultrasonography; Case report (source: MeSH NLM)..

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )