John Bostwick, III

John Bostwick, III Eur J Plast Surg (2001) 24:96–97 DOI 10.1007/s002380100241 CASE REPOR T M.G. Soldin · M.J. Smith · M. Grob · V.S. Devaraj Compression of the motor branch of the median nerve by the superficial palmar branch of the radial artery Received: 13 June 2000 / Accepted: 6 November 2000 / Published online: 14 March 2001 © Springer-Verlag 2001 Abstract A case of isolated thenar wasting caused by a large superficial palmar branch of the radial artery is re- ported. Keywords Thenar wasting · Compression neuropathy Introduction Isolated neuropathy of the motor branch of the median nerve is a rare occurrence. This is the first description of an enlarged superficial palmar branch of the radial artery compressing the median nerve motor branch without sensory involvement. Case report A 45-year-old hematology technician presented with progressive Fig. 1 Enlarged superficial palmar artery weakness of his right thumb. He had no sensory symptoms. Exam- ination revealed a 2×2-cm ganglion on the volar aspect of the wrist, over which the radial artery was draped. Wasting of the the- nar eminence and weakness of both abductor pollicis brevis and opponens pollicis muscles was evident. There was no sensory im- pairment. Provocation tests for median nerve http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

John Bostwick, III

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Publisher
Springer-Verlag
Copyright
Copyright © 2001 by Springer-Verlag
Subject
Medicine & Public Health; Plastic Surgery
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s002380100237
Publisher site
See Article on Publisher Site

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